DR. Randy Lee Sorensen, D.M.D.

NPI #1124037924 in Lewiston, Idaho

Provider Information

NPI Number: 1124037924
Entity Type: Individual
Name: DR. Randy Lee Sorensen, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 939 BRYDEN AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-5057
Phone: (208) 746-2668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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