| Sorenson Pediatric Dentistry Pllc | |
|
5745 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5623 | |
| (702) 586-4347 | |
| (702) 586-4847 |
| Full Name | Sorenson Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5745 S Fort Apache Rd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Levi John Sorenson (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7028540005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorenson Pediatric Dentistry Pllc 5745 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5623 Ph: (702) 586-4347 | Sorenson Pediatric Dentistry Pllc 5745 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5623 Ph: (702) 586-4347 |
| NPI Number | 1649760257 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649760257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | S6-131 (Nevada) | Primary |
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