| Sorenson Dental | |
|
14688 Everton Ave N Suite 104 Hugo MN 55038-6064 | |
| (651) 204-0201 | |
| Not Available |
| Full Name | Sorenson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14688 Everton Ave N, Hugo, Minnesota |
| Authorized Official Name and Position | Brent S Sorenson (OWNER) |
| Authorized Official Contact | 6512040201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorenson Dental 14688 Everton Ave N Suite 104 Hugo MN 55038-6064 Ph: (651) 204-0201 | Sorenson Dental 14688 Everton Ave N Suite 104 Hugo MN 55038-6064 Ph: (651) 204-0201 |
| NPI Number | 1063947307 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063947307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D13363 (Minnesota) | Primary |
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