NPI | 1366655714 |
---|---|
Other Name | W RONALD REDMOND |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS19004) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-07-26 |