Individual
DR. THOMAS COOLEY SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6095 FASHION BLVD, SUITE 220, MURRAY, UT 84107-7397
(801) 268-4986
(801) 268-8817
Mailing address
2575 N 5TH ST, ELKO, NV 89801-4473
(775) 753-6118
(775) 738-2731
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
140796-9922
UT
1223P0221X
Pediatric Dentistry
S6-34C
NV
Other
Enumeration date
03/08/2006
Last updated
06/01/2009
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