Jacob Soenen

NPI #1871154104 in Kalkaska, Michigan

Provider Information

NPI Number: 1871154104
Entity Type: Individual
Name: Jacob Soenen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 508 N BIRCH ST
City: Kalkaska
State: Michigan
ZIP Code: 49646-8414
Phone: (231) 258-5395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Kalkaska Family Dental Center, P.c.	Dentist	Kalkaska	AI Deep Dive

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