Individual
DR. MICHAEL JOHN REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
181 AVENIDA VAQUERO, SUITE C, SAN CLEMENTE, CA 92672-3600
(949) 492-2141
Mailing address
201 ESPLANADE, SAN CLEMENTE, CA 92672-5423
(949) 492-3746
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44768
CA
Other
Enumeration date
01/08/2007
Last updated
07/06/2021
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