Organization
DESAMEAU AND OKONS PLLC
Active
Other names
Radiant Smiles Family and Cosmetic Dentistry, Radiant Smiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LUGERO (PRACTICE MANAGER)
(704) 540-5440
Entity
Organization
Contact information
Practice address
140 MAHALEY AVE, SALISBURY, NC 28144-2449
(704) 637-0150
Mailing address
10700 KETTERING DR, CHARLOTTE, NC 28226-3770
(704) 540-5440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
06/15/2023
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