Individual
DR. JEFFREY CAVANAUGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 SOVEREIGN CT, MANCHESTER, MO 63011-4400
(636) 391-0499
(636) 391-7340
Mailing address
410 SOVEREIGN CT, MANCHESTER, MO 63011-4400
(636) 391-0499
(636) 391-7340
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15673
MO
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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