MR. Olav Jens Sorensen, D.M.D.

NPI #1184999708 in Blackfoot, Idaho

Provider Information

NPI Number
1184999708
Entity Type
Individual
Name
MR. Olav Jens Sorensen, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Mar 14, 2012
Last Updated
Apr 23, 2021

Practice Location

Address
621 JENSEN GROVE DR
State
Idaho
ZIP Code
83221-1685
Phone
(208) 915-8419

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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