Individual
JUSTIN VANCE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5058 E SOUTHERN AVE STE 101, MESA, AZ 85206-2771
(480) 325-7500
Mailing address
3764 E INDIGO BAY CT, GILBERT, AZ 85234-0030
(928) 322-2481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018001255
MO
122300000X
Dentist
Primary
D012643
AZ
Other
Enumeration date
03/01/2018
Last updated
05/07/2026
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