# RFDEST, DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386391753
- **Authorized official:** EILEEN R CHILDERS (CREDENTIALING MGR)
- **Authorized official phone:** (704) 790-4410

## Contact information

- **Practice address:** 8301 UNIVERSITY EXEC PARK DR STE 105, CHARLOTTE, NC 28262-3378
- **Practice address phone:** (704) 790-4410
- **Mailing address:** 8301 UNIVERSITY EXEC PARK DR STE 105, CHARLOTTE, NC 28262-3378
- **Mailing address phone:** (704) 790-4410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 03/07/2022