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1740313881
JERRY STANLEY REDD
VALLEJO, CA
NPI
1740313881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 23236)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Dr. JERRY STANLEY REDD D.D.S.
1620 VALLE VISTA AVE STE 200
VALLEJO, CA 94589-2887
Phone number: 707-552-4940
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Mailing Address
Dr. JERRY STANLEY REDD D.D.S.
3470 LA CAMINITA
LAFAYETTE, CA 94549-2312
Phone number: 925-283-3242
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