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Individual

BRACKEN SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
181 E 1ST AVE, COLVILLE, WA 99114-2801
(509) 684-3736
Mailing address
181 E 1ST AVE, COLVILLE, WA 99114-2801
(509) 684-3736

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60857581
WA
125Q00000X
Oral Medicine Dentistry
DE60857581
WA

Other

Enumeration date
07/21/2018
Last updated
03/03/2026
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