Individual
DR. KENNETH ROBERT SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3475 PLYMOUTH BLVD STE 100, PLYMOUTH, MN 55447-1497
(763) 537-1238
(763) 537-4627
Mailing address
3475 PLYMOUTH BLVD STE 100, PLYMOUTH, MN 55447-1497
(763) 537-1238
(763) 537-4627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8340
MN
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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