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1336879980
BRADY KYLE FERGUSON
SAN ANTONIO, TX
NPI
1336879980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 37428)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
BRADY KYLE FERGUSON DDS
4438 CULEBRA RD STE 3
SAN ANTONIO, TX 78228-5671
Phone number: 254-292-9844
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Mailing Address
BRADY KYLE FERGUSON DDS
517 LCR 445
GROESBECK, TX 76642-2704
Phone number:
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