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1659322121
LARRY JETHRO FERGUSON
CHARLESTON, SC
NPI
1659322121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 2262)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Dr. LARRY JETHRO FERGUSON D.M.D.
1812 WALLACE SCHOOL ROAD, SUITE 400
CHARLESTON, SC 29407-4517
Phone number: 843-571-4411
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Mailing Address
Dr. LARRY JETHRO FERGUSON D.M.D.
1812 WALLACE SCHOOL ROAD, SUITE 400
CHARLESTON, SC 29407-4517
Phone number: 843-571-4411
Copy
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