Individual
MR. JOHN DOUGLAS SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5937 PORTLAND AV S, MINNEAPOLIS, MN 55417
(612) 866-1661
Mailing address
5937 PORTLAND AV SOUTH, MINNEAPOLIS, MN 55417
(612) 866-1661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9819
MN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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