Individual
CLINTON OLIVER SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2725 E PARLEYS WAY STE 150, SALT LAKE CITY, UT 84109-1659
(801) 808-2061
Mailing address
1670 E ROYCROFT PL APT A, SALT LAKE CITY, UT 84124-2588
(801) 808-2061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27343
TX
1223G0001X
General Practice Dentistry
80174279922
UT
Other
Enumeration date
10/17/2011
Last updated
02/08/2018
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