Individual
DR. ERIC JUSTIN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
762 14TH ST, ELKO, NV 89801-3413
(775) 738-1553
(775) 738-5934
Mailing address
762 14TH ST, ELKO, NV 89801-3413
(775) 738-1553
(775) 738-5934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24285
TX
122300000X
Dentist
325161
UT
122300000X
Dentist
Primary
4792
NV
1223G0001X
General Practice Dentistry
4792
NV
1223G0001X
General Practice Dentistry
6542
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510329
—
NV
05
—
1346337714
—
NV
Enumeration date
10/06/2006
Last updated
08/28/2012
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