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1154417046
TRAVIS ANTHONY SORENSEN
KENT, WA
NPI
1154417046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00010515)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Dr. TRAVIS ANTHONY SORENSEN DMD, MMsc
331 3RD AVE S
KENT, WA 98032-5844
Phone number: 253-852-7210
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Mailing Address
Dr. TRAVIS ANTHONY SORENSEN DMD, MMsc
331 3RD AVE S
KENT, WA 98032-5844
Phone number: 253-852-7210
Copy
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