Gene Richard Sorensen DDS

NPI 1093814659 - Dentist - 1223G0001X

NPI Details
NPI 1093814659
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
216 S MAIN ST
LODI WI, 53555-1121, US
Phone (608) 592-4398
Fax (608) 592-5245
Business Location
216 S MAIN ST
LODI WI, 53555-1121, US
Phone (608) 592-4398
Fax (608) 592-5245
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5001592
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According to our database, Dr. Gene Richard Sorensen DDS NPI is 1093814659, taxonomy code is 1223G0001X and license number is 5001592, license state is located at Wisconsin. Gene Richard Sorensen DDS physically located at 216 S Main St, Lodi WI, 53555-1121. NPI Number Gene Richard Sorensen DDS has the Individual type.

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1093814659 NPI number is provided on an as is basis without warranty of any kind. 1093814659 is maintained by the National Plan & Provider Enumeration System. The contents of Gene Richard Sorensen DDS are for informational purposes only.