JAKE DANIEL SORENSEN

LOGAN, UT
NPI1891073334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  8021465-8903)
Enumeration Date2011-08-02
Last Update Date2011-08-02
Business Address
Dr. JAKE DANIEL SORENSEN D.D.S.
40 W. CACHE VALLEY BLVD. #2A
LOGAN, UT 84341
Phone number: 435-787-8207
Mailing Address
Dr. JAKE DANIEL SORENSEN D.D.S.
169 SOUTH 380 EAST
SMITHFIELD, UT 84335
Phone number: 435-213-6991