Organization
RFDEST, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN R CHILDERS (CREDENTIALING MGR)
(704) 790-4410
Entity
Organization
Contact information
Practice address
8301 UNIVERSITY EXEC PARK DR STE 105, CHARLOTTE, NC 28262-3378
(704) 790-4410
Mailing address
8301 UNIVERSITY EXEC PARK DR STE 105, CHARLOTTE, NC 28262-3378
(704) 790-4410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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