KONRAD DAVID FERGUSON

TACOMA, WA
NPI1710210315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE60112858)
Enumeration Date2009-09-14
Last Update Date2009-09-14
Business Address
Dr. KONRAD DAVID FERGUSON DDS
BLDG 9900, 2ND FLOOR U.S. ARMY DENTAL ACTIVITY - FORT LEWIS
TACOMA, WA 98431-1100
Phone number: 253-968-4039
Mailing Address
Dr. KONRAD DAVID FERGUSON DDS
BLDG 9900, 2ND FLOOR U.S. ARMY DENTAL ACTIVITY - FORT LEWIS
TACOMA, WA 98431-1100
Phone number: 253-968-4039