NPI 1023265162

Brent Alan Sorenson, DDS

Practitioner General Practice Dentistry Tacoma, WA

Practice location

Address: Bldg 9900, 2nd Floor U.S. Army Dental Activity - Fort Lewis, Tacoma, WA 98431-1100
Phone: (253) 968-4039
Fax: (253) 968-5919

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D-4141 (ID)

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Registry record

NPI: 1023265162
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2008
Record last updated: 20 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.