Individual
JERRY H. TERAVEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2515 E NC HIGHWAY 54, SUITE 2000, DURHAM, NC 27713-5263
(919) 544-6080
(919) 544-8252
Mailing address
PO BOX 12301, RESEARCH TRIANGLE PARK, NC 27709-2301
(919) 544-6080
(919) 544-8252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5882
NC
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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