Individual
DR. JARED VERNON REDISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
72 LANDMARK HILL DR, BRATTLEBORO, VT 05301-9168
(802) 254-9244
(802) 254-3820
Mailing address
58 LOG CABIN DR, GUILFORD, VT 05301-8325
(802) 275-0227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0002226
VT
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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