Individual
DR. TERRANCE TYLER RECEVEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BUILDING NH-100, FLOOR 2, CAMP LEJEUNE, NC 28542
(910) 451-2414
Mailing address
700 MCHUGH BLVD, CAMP LEJEUNE, NC 28547-1000
(252) 466-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027186
OH
Other
Enumeration date
06/30/2023
Last updated
10/25/2023
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