Individual
DR. JERRY STANLEY REDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1620 VALLE VISTA AVE STE 200, VALLEJO, CA 94589-2887
(707) 552-4940
(707) 552-7049
Mailing address
3470 LA CAMINITA, LAFAYETTE, CA 94549-2312
(925) 283-3242
(925) 284-7457
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23236
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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