| Dr Andrek Apd Ingersoll Dental Corporation | |
|
2127 Airpark Dr Redding CA 96001-2433 | |
| (530) 356-4685 | |
| Not Available |
| Full Name | Dr Andrek Apd Ingersoll Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2127 Airpark Dr, Redding, California |
| Authorized Official Name and Position | Andrek Jeffrey Ingersoll (OWNER) |
| Authorized Official Contact | 5305791722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrek Apd Ingersoll Dental Corporation 2127 Airpark Dr Redding CA 96001-2433 Ph: (530) 579-1722 | Dr Andrek Apd Ingersoll Dental Corporation 2127 Airpark Dr Redding CA 96001-2433 Ph: (530) 356-4685 |
| NPI Number | 1790504298 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790504298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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