DR. Jake Daniel Sorensen, D.D.S.

NPI #1891073334 in Logan, Utah

Provider Information

NPI Number: 1891073334
Entity Type: Individual
Name: DR. Jake Daniel Sorensen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 2, 2011
Last Updated: Aug 2, 2011

Practice Location

Address: 40 W. CACHE VALLEY BLVD. #2A
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 787-8207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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