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Individual
STANFORD SORENSEN
Active
Individual
STANFORD SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12320
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D12320
STATE LICENSE
OR
Enumeration date
03/24/2026
Last updated
05/14/2026
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