| Andrek Pmendo Ingersoll Dental Corporation | |
|
2301 Park Marina Dr Ste 23 Redding CA 96001-2158 | |
| (530) 697-0110 | |
| Not Available |
| Full Name | Andrek Pmendo Ingersoll Dental Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2301 Park Marina Dr Ste 23, Redding, California |
| Authorized Official Name and Position | Leeann Blazer (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7076737531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrek Pmendo Ingersoll Dental Corporation 3300 N Triumph Blvd Ste 100 Lehi UT 84043-5046 Ph: (707) 673-7531 | Andrek Pmendo Ingersoll Dental Corporation 2301 Park Marina Dr Ste 23 Redding CA 96001-2158 Ph: (530) 697-0110 |
| NPI Number | 1942098934 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942098934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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