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Individual

DR. MICHAEL S REDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
704 LA JOYA ST, ESPANOLA, NM 87532-2599
(505) 753-2230
Mailing address
704 LA JOYA STREET, ESPANOLA, NM 87532
(505) 753-2230

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1421
NM

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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