Individual
DR. SOREN CHASE MICHAELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1755 N HIGHWAY 66, SUITE C, CATOOSA, OK 74015
(918) 266-6470
(918) 266-6473
Mailing address
2036 S. MILLER LANE, SUITE #B, CATOOSA, OK 74015
(918) 266-6470
(918) 266-6473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6403
OK
Other
Enumeration date
05/23/2012
Last updated
05/31/2018
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