Individual
DR. DAVID WALLACE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
460 TOWN PLAZA AVE, SUITE 210, PONTE VEDRA, FL 32081-5139
(904) 395-7771
Mailing address
460 TOWN PLAZA AVE STE 210, PONTE VEDRA, FL 32081-5140
(904) 395-7771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20719
FL
Other
Enumeration date
08/12/2014
Last updated
01/06/2021
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