Organization
ANDREK PMENDO INGERSOLL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEEANN BLAZER (DIRECTOR OF OPERATIONS)
(707) 673-7531
Entity
Organization
Contact information
Practice address
2301 PARK MARINA DR STE 23, REDDING, CA 96001-2158
(530) 697-0110
Mailing address
3300 N TRIUMPH BLVD STE 100, LEHI, UT 84043-5046
(707) 673-7531
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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