Individual
NICHOLAS JAMES SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1790 7TH ST E, SAINT PAUL, MN 55119-3419
(651) 735-0595
Mailing address
8121 MAPLEWOOD TER, CHANHASSEN, MN 55317-9661
(612) 805-6056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14652
MN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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