| Raynald L. Desameau Dmd Pllc Iii | |
|
10460 Park Road Charlotte NC 28210 | |
| (704) 540-5440 | |
| Not Available |
| Full Name | Raynald L. Desameau Dmd Pllc Iii |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10460 Park Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Raynald Leon Desameau (OWNER/MEMBER) |
| Authorized Official Contact | 9123323932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raynald L. Desameau Dmd Pllc Iii 10460 Park Road Charlotte NC 28210 Ph: () - | Raynald L. Desameau Dmd Pllc Iii 10460 Park Road Charlotte NC 28210 Ph: (704) 540-5440 |
| NPI Number | 1396567095 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396567095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Raynald L. Desameau Dmd Pllc Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10460 Park Rd, Charlotte, NC 28210 Phone: 704-540-5440 |