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Individual
DR. TERESA GAIL CONLEY
Active
Individual
DR. TERESA GAIL CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990048
—
NC
01
—
90048
BCBS
—
01
—
969107
UNITED CONCORDIA
—
Enumeration date
07/29/2005
Last updated
11/15/2010
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