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1720100282
CHARLES RAY FERGUSON
BEAUMONT, TX
NPI
1720100282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14048)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Dr. CHARLES RAY FERGUSON DDS
4410 PHELAN BLVD
BEAUMONT, TX 77707-2115
Phone number: 409-899-5470
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Mailing Address
Dr. CHARLES RAY FERGUSON DDS
4410 PHELAN BLVD
BEAUMONT, TX 77707-2115
Phone number: 409-899-5470
Copy
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