| Sorensen Orthodontics | |
|
4116 California Ave Sw Apt 102 Seattle WA 98116-4151 | |
| (206) 937-6089 | |
| (206) 937-6371 |
| Full Name | Sorensen Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4116 California Ave Sw Apt 102, Seattle, Washington |
| Authorized Official Name and Position | Lanette Mcintosh (REGIONAL OPERATIONS MANAGER) |
| Authorized Official Contact | 4253961011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorensen Orthodontics 4116 California Ave Sw Apt 102 Seattle WA 98116-4151 Ph: (206) 937-6089 | Sorensen Orthodontics 4116 California Ave Sw Apt 102 Seattle WA 98116-4151 Ph: (206) 937-6089 |
| NPI Number | 1023461597 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023461597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010515 (Washington) | Primary |
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