Individual
GRANT TESMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15105 JOHN J DELANEY DR STE K, CHARLOTTE, NC 28277-2848
(704) 540-2255
Mailing address
2630 SOUTH BLVD APT 326, CHARLOTTE, NC 28209-1182
(402) 570-8068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11533
NC
1223G0001X
General Practice Dentistry
Primary
11533
NC
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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