RANDY LEE SORENSEN

LEWISTON, ID
NPI1124037924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D3092)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
Dr. RANDY LEE SORENSEN D.M.D.
939 BRYDEN AVE
LEWISTON, ID 83501-5057
Phone number: 208-746-2668
Mailing Address
Dr. RANDY LEE SORENSEN D.M.D.
939 BRYDEN AVE
LEWISTON, ID 83501-5057
Phone number: 208-746-2668