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Individual

THERESA LENISE CLIFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
223 TIMBERHILL PL, CHAPEL HILL, NC 27514-1597
(919) 933-1007
Mailing address
223 TIMBERHILL PL, CHAPEL HILL, NC 27514-1597
(919) 933-1007

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6128
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6128
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890181R
NC
Enumeration date
07/06/2006
Last updated
09/11/2025
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