DR. Jeffrey L Sorensen, DDS

NPI #1972648459 in Salem, Wisconsin

Provider Information

NPI Number: 1972648459
Entity Type: Individual
Name: DR. Jeffrey L Sorensen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 24418 75TH ST
City: Salem
State: Wisconsin
ZIP Code: 53168-9703
Phone: (262) 843-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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