Organization
ANDREK REDORTHO INGERSOLL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN BLAZER (DIRECTOR OF OPERATIONS)
(707) 673-7531
Entity
Organization
Contact information
Practice address
2315 BECHELLI LN STE E, REDDING, CA 96002-0119
(530) 223-0460
Mailing address
3300 N TRIUMPH BLVD STE 100, LEHI, UT 84043-5046
(707) 673-7531
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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