Organization
DR ANDREK GV INGERSOLL DENTAL CORPORATION
Active
Other names
Empire Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREK INGERSOLL DMD (OWNER)
(919) 656-3004
Entity
Organization
Contact information
Practice address
115 W EMPIRE ST, GRASS VALLEY, CA 95945-7510
(530) 478-8366
Mailing address
115 W EMPIRE ST, GRASS VALLEY, CA 95945-7510
(530) 478-8366
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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