Individual
DR. TRAVIS ANTHONY SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MMSC
Contact information
Practice address
331 3RD AVE S, KENT, WA 98032-5844
(253) 852-7210
(253) 850-9032
Mailing address
331 3RD AVE S, KENT, WA 98032-5844
(253) 852-7210
(253) 850-9032
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010515
WA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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