| NPI | 1629234018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN L FERGUSON Dentist 281-298-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23015) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 4842) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-09-18 |