Organization
NEXUS DENTAL GROUP PLLC
Active
Other names
Parleys Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON SORENSEN DDS (DENTIST/OWNER)
(801) 808-2061
Entity
Organization
Contact information
Practice address
2725 E PARLEYS WAY, SALT LAKE CITY, UT 84109-1667
(801) 808-2061
Mailing address
2725 E PARLEYS WAY STE 150, SALT LAKE CITY, UT 84109-1659
(801) 808-2061
(801) 808-2061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
80174279922
UT
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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