Organization
REEDSBURG FAMILY DENTAL, S.C.
Active
Other names
Kitson and Sorenson Family Dental, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY E SORENSON D.D.S. (PRESIDENT)
(608) 524-4213
Entity
Organization
Contact information
Practice address
764 CRESTVIEW DR, REEDSBURG, WI 53959-2581
(608) 524-4213
(608) 524-0743
Mailing address
764 CRESTVIEW DR, P.O. BOX 383, REEDSBURG, WI 53959-2581
(608) 524-4213
(608) 524-0743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3386-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38381600
—
WI
Enumeration date
12/06/2006
Last updated
09/22/2021
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