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Organization
INGRAM DENTAL CORPORATION
Active
Organization
INGRAM DENTAL CORPORATION
Active
Other names
Nordahl Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY INGRAM (DENTIST)
(559) 360-3391
Entity
Organization
Contact information
Practice address
838 NORDAHL RD STE 275, SAN MARCOS, CA 92069-3600
(559) 360-3391
Mailing address
805 INVERLOCHY DR, FALLBROOK, CA 92028-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/07/2025
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