Ferguson Dental Llc | |
46 S Florissant Rd Ferguson MO 63135-2334 | |
(314) 522-6300 | |
Not Available |
Full Name | Ferguson Dental Llc |
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Speciality | Dentist - General Practice |
Location | 46 S Florissant Rd, Ferguson, Missouri |
Authorized Official Name and Position | Victor L Clark (DENTIST/OWNER) |
Authorized Official Contact | 3145226300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ferguson Dental Llc 46 S Florissant Rd Ferguson MO 63135-2334 Ph: (314) 522-6300 | Ferguson Dental Llc 46 S Florissant Rd Ferguson MO 63135-2334 Ph: (314) 522-6300 |
NPI Number | 1184913295 |
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Provider Enumeration Date | 03/30/2011 |
Last Update Date | 03/30/2011 |
Identifier | Type | State | Issuer |
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1184913295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |