Individual
BRIAN L SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 N STATE ST, MOUNT PLEASANT, UT 84647-1107
(435) 462-2491
(435) 462-3999
Mailing address
240 N STATE ST, MOUNT PLEASANT, UT 84647-1107
(435) 462-2491
(435) 462-3999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
70286739922
UT
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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