Grant R Sorensen D.D.S.

NPI 1396963070 - Dentist - 1223G0001X

NPI Details
NPI 1396963070
Gender Male
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1029 3RD AVE
WORTHINGTON MN, 56187-2398, US
Phone (507) 376-9797
Business Location
WORTHINGTON MN, 56187-1414, US
Taxonomy Code 1223G0001X
License State Minnesota
License Number 9645
Remove 1396963070 NPI Number

According to our database, Grant R Sorensen D.D.S. NPI is 1396963070, taxonomy code is 1223G0001X and license number is 9645, license state is located at Minnesota. Grant R Sorensen D.D.S. physically located at 1029 3rd Ave, Worthington MN, 56187-2398. NPI Number Grant R Sorensen D.D.S. has the Individual type.

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1396963070 NPI number is provided on an as is basis without warranty of any kind. 1396963070 is maintained by the National Plan & Provider Enumeration System. The contents of Grant R Sorensen D.D.S. are for informational purposes only.