Individual
DR. BRENT SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14688 EVERTON AVE N, SUITE # 104, HUGO, MN 55038-6064
(651) 204-0201
Mailing address
3045 STANDRIDGE PL, MAPLEWOOD, MN 55109-1562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13363
MN
Other
Enumeration date
05/23/2014
Last updated
04/24/2017
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