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Organization

MONIQUE D MCEACHERN DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEIGH ANN HARRIS (ADMINISTRATIVE ASSISTANT)
(704) 971-7272
Entity
Organization

Contact information

Practice address
10226 COULOAK DRIVE, STE 100, CHARLOTTE, NC 28216
(704) 971-7272
(704) 971-7522
Mailing address
10226 COULOAK DRIVE, STE 100, CHARLOTTE, NC 28216
(704) 971-7272
(704) 971-7522

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7458
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1745260
UNITED CONCORDIA
05
5900825
NC
Enumeration date
02/26/2008
Last updated
02/26/2008
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