Individual
BRENT DOUGLAS SONNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 E WATERFORD ST, WAKARUSA, IN 46573-9560
(574) 862-1225
(574) 862-2329
Mailing address
901 E WATERFORD ST, WAKARUSA, IN 46573-9560
(574) 862-1225
(574) 862-2329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007738
IN
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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