Individual
DR. TERESA PEREZ CAVNAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1028 EDGEWATER CORPORATE PKWY, INDIAN LAND, SC 29707-0107
(803) 835-2500
Mailing address
1604 CHURCHILL DOWNS DR, WAXHAW, NC 28173
(630) 391-1026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7119
SC
1223G0001X
General Practice Dentistry
019.025077
IL
1223G0001X
General Practice Dentistry
10444
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9182559
—
IL
Enumeration date
03/02/2007
Last updated
01/27/2025
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