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Individual

JOHN SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1959 NE PACIFIC ST, BOX 357131, SEATTLE, WA 98195-0001
(206) 543-5297
Mailing address
1959 NE PACIFIC ST, BOX 357131, SEATTLE, WA 98195-0001
(206) 543-5297

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DF60330315
WA
1223P0700X
Prosthodontics
Primary
DF60330315
WA

Other

Enumeration date
01/24/2014
Last updated
01/24/2014
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