Andrek J Ingersoll Dental Corporation
Andrek J Ingersoll Dental Corporation is a Pediatric Dentistry in Redding, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2775 Park Marina Dr Ste ARedding, CA 96001-2840
Phone: (919) 656-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1528668746 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andy Ingersoll — Manager · (530) 579-1722 |
| Other names | Shasta Kids Dentistry; Shasta Kids Dentistry |
| NPI enumerated | October 27, 2020 |
| Last updated in NPPES | April 29, 2021 |
| Certification date | April 29, 2021 |
| Mailing address | 3300 N Triumph Blvd Ste 100, Lehi, UT 84043-5046 |
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