OLAV JENS SORENSEN

BLACKFOOT, ID
NPI1184999708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-4435)
Enumeration Date2012-03-14
Last Update Date2021-04-23
Business Address
MR. OLAV JENS SORENSEN D.M.D.
621 JENSEN GROVE DR
BLACKFOOT, ID 83221-1685
Phone number: 208-915-8419
Mailing Address
MR. OLAV JENS SORENSEN D.M.D.
621 JENSEN GROVE DR
BLACKFOOT, ID 83221-1685
Phone number: 208-915-8419
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