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Organization
DR ANDREK APD INGERSOLL DENTAL CORPORATION
Active
Organization
DR ANDREK APD INGERSOLL DENTAL CORPORATION
Active
Other names
Shasta Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREK JEFFREY INGERSOLL DMD (OWNER)
(530) 579-1722
Entity
Organization
Contact information
Practice address
2127 AIRPARK DR, REDDING, CA 96001-2433
(530) 356-4685
Mailing address
2127 AIRPARK DR, REDDING, CA 96001-2433
(530) 579-1722
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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