| NPI | 1821215351 |
|---|---|
| Former Legal Business Name | L. ALAN FERGUSON, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | LYNN ALAN FERGUSON President 602-242-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 4438) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-09-22 |