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1497345557
JERREN NIKKO FERGUSON
BUENA PARK, CA
NPI
1497345557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 105751)
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
JERREN NIKKO FERGUSON DDS
7540 ORANGETHORPE AVE STE A1
BUENA PARK, CA 90621-3458
Phone number: 714-576-2540
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Mailing Address
JERREN NIKKO FERGUSON DDS
1812 E FERNROCK ST
CARSON, CA 90746-2539
Phone number:
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