Organization
CDP LLC
Active
Other names
Clarksville Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN HAROLD SORENSON DMD (MEMBER)
(812) 725-9200
Entity
Organization
Contact information
Practice address
529 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1729
(812) 725-9200
(812) 725-9313
Mailing address
529 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1729
(812) 725-9200
(812) 725-9313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
03/22/2024
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