Jerren Nikko Ferguson, DDS Valid NPI
Individual provider · Dentist · Buena Park, CA
- NPI
- 1497345557
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 105751 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-22
Practice location
7540 Orangethorpe Ave Ste A1
Buena Park, CA 90621-3458
(714) 576-2540