Individual
JASON SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1480 W HERNDON AVE, FRESNO, CA 93711-0552
(559) 447-0544
(559) 431-1827
Mailing address
1480 W HERNDON AVE, FRESNO, CA 93711-0552
(559) 447-0544
(559) 431-1827
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
46690
CA
Other
Enumeration date
04/20/2007
Last updated
03/26/2010
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