Organization
ROBERT N SORENSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT N SORENSON DDS (OWNER)
(434) 846-8025
Entity
Organization
Contact information
Practice address
2309 ATHERHOLT RD STE 2, LYNCHBURG, VA 24501-2192
(434) 846-8025
(434) 846-7803
Mailing address
2309 ATHERHOLT RD STE 2, LYNCHBURG, VA 24501-2192
(434) 846-8025
(434) 846-7803
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
401008866
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RX83717976700
—
VA
Enumeration date
01/12/2018
Last updated
01/12/2018
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