Organization
COPPER HILLS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY R SORENSON (DENTIST/OWNER)
(801) 250-0450
Entity
Organization
Contact information
Practice address
3665 S 8400 W STE 250, MAGNA, UT 84044-4911
(801) 250-0450
Mailing address
3665 S 8400 W STE 250, MAGNA, UT 84044-4911
(801) 250-0450
(801) 250-0470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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