RICHARD E FERGUSON

BOISE, ID
NPI1710050943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: ID  D-1669-PE)
Enumeration Date2006-11-16
Last Update Date2007-07-09
Business Address
-- RICHARD E FERGUSON D.D.S., M.S.
813 STILSON RD SUITE C
BOISE, ID 83703-5119
Phone number: 208-344-0908
Mailing Address
-- RICHARD E FERGUSON D.D.S., M.S.
813 STILSON RD SUITE C
BOISE, ID 83703-5119
Phone number: 208-344-0908