Organization · Type 2 NPI
Andrek Ingersoll Dental Corporation
Dental Clinic/Center · Mcarthur, CA
NPI number
1265101679
Active
Practice location
44255 CA-299
Mcarthur, CA 96056
Mailing address
3300 N Triumph Blvd Ste 100
Lehi, UT 84043-5046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1265101679
Andrek Ingersoll Dental Corporation's National Provider Identifier is 1265101679, issued on Sep 9, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mcarthur, CA. The record was last updated on Sep 6, 2023.