NPI 1003638719

Raynald L. Desameau DMD PLLC IV

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Charlotte, NC

Practice location

Address: 10460 Park Rd, Charlotte, NC 28210
Phone: (704) 540-5440

Authorised official

Name: Raynald Leon Desameau
Title: Owner/Member
Phone: (912) 332-3932

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

Other Dentist providers in North Carolina →

Registry record

NPI: 1003638719
Entity type: Organization
NPI issued: 25 Oct 2024
Record last updated: 25 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.