| NPI | 1306058839 |
|---|---|
| Other Name | DENTAL CARE PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | DAVID BURTON FERGUSON Sole Proprietor 904-994-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL dn 17631) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |