Individual
DR. CHARLES A REDMOND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4137 JFK BLVD., NORTH LITTLE ROCK, AR 72116-8264
(501) 753-5594
(501) 753-0720
Mailing address
4137 JFK BOULEVARD, NORTH LITTLE ROCK, AR 72116-8264
(501) 753-5594
(501) 753-0720
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2264
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159088608
—
AR
Enumeration date
12/11/2006
Last updated
07/08/2007
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