Organization · Type 2 NPI

Dental Office of Andrek J Ingersoll

Dental Clinic/Center · South Lake Tahoe, CA

NPI number 1417767161 Active

Practice location

585 Tahoe Keys Blvd Ste 2
South Lake Tahoe, CA 96150-3371

Call (530) 541-3772 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1417767161

Dental Office of Andrek J Ingersoll's National Provider Identifier is 1417767161, issued on Jan 13, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jan 13, 2025.