PATRICE FERGUSON DDS PC
Dentist at 126 Ave, Jamaica, NY

License number
New York 049050
Category
Dentist
Type
Dentist
Owner
Name: PATRICE DIANNA FERGUSON DDS
Title: DENTIST
Phone: (718) 949-1230
Address
Address
176 126Th Ave, Jamaica, NY 11434
National Provider ID: 1316950728
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PATRICE FERGUSON DDS, PC

176 24A 126 Ave, Jamaica, NY 11434

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Oct 7, 2003
Inactive since:
Mar 25, 2014
State ID:
2962699
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Patrice Ferguson, 176-24A 126 Ave, Jamaica, NY 11434 (Physical)

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