Organization
ANDREK FRORTHO INGERSOLL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY KINGREY (REGIONAL MANAGER)
(530) 356-4685
Entity
Organization
Contact information
Practice address
1473 LIVE OAK BLVD, YUBA CITY, CA 95991-2920
(530) 441-2452
Mailing address
1473 LIVE OAK BLVD, YUBA CITY, CA 95991-2920
(530) 441-2452
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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