Individual
DR. BRYAN ELLIOTT SORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3621 NW 63RD ST STE E, OKLAHOMA CITY, OK 73116-2041
(405) 848-8871
(405) 848-4059
Mailing address
3621 NW 63RD ST STE E, OKLAHOMA CITY, OK 73116-2041
(405) 848-8871
(405) 848-4059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27092
TX
1223G0001X
General Practice Dentistry
Primary
6457
OK
Other
Enumeration date
06/28/2011
Last updated
01/22/2013
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