| NPI | 1174070015 |
|---|---|
| Doing Business As | BRET J SORENSEN |
| Entity Type | Organization |
| Authorized Contact | BRET J SORENSEN Owner 801-798-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 363178-9923) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |