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1194856872
FRED SHAKESPEARE FERGUSON
STONY BROOK, NY
NPI
1194856872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NY 031804)
Enumeration Date
2007-03-07
Last Update Date
2007-07-09
Business Address
Dr. FRED SHAKESPEARE FERGUSON DDS
STONY BROOK DENTAL ASSOCIATES SULLIVAN HALL RM 170
STONY BROOK, NY 11794-0001
Phone number: 631-632-8971
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Mailing Address
Dr. FRED SHAKESPEARE FERGUSON DDS
10 BRAEMER RD
SETAUKET, NY 11733-3905
Phone number: 631-751-3901
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