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
Update your record
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