| NPI | 1063636710 |
|---|---|
| Former Name | ERICKA FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN17256) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL 17256) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-07-18 |