Individual
GRANT R SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1029 3RD AVE, WORTHINGTON, MN 56187-2398
(507) 376-9797
Mailing address
1904 SUMMIT AVE, WORTHINGTON, MN 56187-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9645
MN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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