Individual
DR. EDOUARD SORKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1939 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-5652
(928) 855-5041
(928) 855-2757
Mailing address
1939 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-5652
(928) 855-5041
(928) 855-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5157
AZ
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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