Organization
RAYNALD L. DESAMEAU DMD PLLC IV
Active
Organization
RAYNALD L. DESAMEAU DMD PLLC IV
Active
Other names
Galaxy Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYNALD LEON DESAMEAU DMD (OWNER/MEMBER)
(912) 332-3932
Entity
Organization
Contact information
Practice address
10460 PARK RD, CHARLOTTE, NC 28210
(704) 540-5440
Mailing address
10460 PARK RD, CHARLOTTE, NC 28210
(704) 540-5440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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