Individual
BETHANY L REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11671 FM 2154 RD STE 400, COLLEGE STATION, TX 77845-4796
(979) 399-5101
Mailing address
4104 BRIDGEWOOD CT, COLLEGE STATION, TX 77845-2050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37994
TX
122300000X
Dentist
9242
SC
1223G0001X
General Practice Dentistry
37994
TX
Other
Enumeration date
07/27/2018
Last updated
01/14/2022
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