| NPI | 1518564293 |
|---|---|
| Doing Business As | FERGUSON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS FERGUSON Owner 503-381-6814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-05-02 |