Individual
DR. BRIGHAM SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
710 N BEAVER ST, FLAGSTAFF, AZ 86001-3100
(928) 774-4726
Mailing address
6223 W CAROL ANN WAY, GLENDALE, AZ 85306-2915
(928) 853-5003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010687
AZ
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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