Individual
DR. LEE R INGERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 N TUSTIN AVE, SUITE 200, SANTA ANA, CA 92705-3508
(714) 558-1842
(714) 558-1854
Mailing address
1200 N TUSTIN AVE, SUITE 200, SANTA ANA, CA 92705-3508
(714) 558-1842
(714) 558-1854
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21260
CA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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