Organization
ANDREK INGERSOLL DENTAL CORPORATION
Active
Other names
Fall River Valley Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREK J INGERSOLL DMD (OWNER/MANAGER)
(919) 656-3004
Entity
Organization
Contact information
Practice address
44255 CA-299, MCARTHUR, CA 96056
(530) 336-6142
Mailing address
3300 N TRIUMPH BLVD STE 100, LEHI, UT 84043-5046
(801) 494-4949
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/06/2023
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