Organization
SORENSON PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI JOHN SORENSON DMD (PEDIATRIC DENTIST)
(702) 854-0005
Entity
Organization
Contact information
Practice address
5745 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5623
(702) 586-4347
(702) 586-4847
Mailing address
5745 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5623
(702) 586-4347
(702) 586-4847
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-131
NV
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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