Raynald L. Desameau Dmd Pllc IV
NPI #1003638719 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003638719
- Entity Type
- Organization
- Organization Name
- Raynald L. Desameau Dmd Pllc IV
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Oct 25, 2024
- Last Updated
- Oct 25, 2024
Practice Location
- Address
- 10460 PARK RD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28210
- Phone
- (704) 540-5440
Authorized Official
- Name
- DR. RAYNALD LEON DESAMEAU, DMD
- Title
- OWNER/MEMBER
- Phone
- (912) 332-3932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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