Dr Andrek Granped Ingersoll Dental Corporation
NPI #1740131010 in Granite Bay, California
Provider Information
- NPI Number
- 1740131010
- Entity Type
- Organization
- Organization Name
- Dr Andrek Granped Ingersoll Dental Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 4, 2026
- Last Updated
- Feb 4, 2026
Practice Location
- Address
- 4150 DOUGLAS BLVD STE B
- City
- Granite Bay
- State
- California
- ZIP Code
- 95746-5908
- Phone
- (916) 797-0931
Authorized Official
- Name
- STACY KINGREY, KINGREY
- Title
- REGIONAL MANAGER
- Phone
- (530) 356-4685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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