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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