Sorensen, Randy Lee

Sorensen, Randy Lee is an individual health care provider with primary practice located at 939 Bryden Ave , Lewiston ID 83501-5057. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sorensen, Randy Lee can be contacted via phone (208) 746-2668.

Contact Information

Primary practice address
939 Bryden Ave Lewiston ID 83501-5057
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3092 Idaho

Profile Details

NPI number 1124037924
LBN Legal business name Sorensen, Randy Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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