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Organization
ANDREK PMENDO INGERSOLL DENTAL CORPORATION
Active
Organization
ANDREK PMENDO INGERSOLL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEEANN BLAZER (DIRECTOR OF OPERATIONS)
(707) 673-7531
Entity
Organization
Contact information
Practice address
2301 PARK MARINA DR STE 23, REDDING, CA 96001-2158
(530) 697-0110
Mailing address
3300 N TRIUMPH BLVD STE 100, LEHI, UT 84043-5046
(707) 673-7531
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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