Individual
DR. JOSHUA LEE SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2321 E 3RD ST, TULSA, OK 74104-1831
(918) 622-0641
(918) 622-4814
Mailing address
2321 E 3RD ST, TULSA, OK 74104-1831
(918) 622-0641
(918) 622-4814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6539
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200567060A
—
OK
Enumeration date
07/17/2013
Last updated
01/07/2016
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