Individual
DR. CLIFFORD G. SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7458 E FIRST ST, HUNTSVILLE, UT 84317-9803
(801) 643-1812
Mailing address
PO BOX 139, 7458 E. 1ST STREET, HUNTSVILLE, UT 84317-0139
(801) 643-1812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1329799922
UT
Other
Enumeration date
12/14/2006
Last updated
09/04/2008
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