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1891073334
JAKE DANIEL SORENSEN
LOGAN, UT
NPI
1891073334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 8021465-8903)
Enumeration Date
2011-08-02
Last Update Date
2011-08-02
Business Address
Dr. JAKE DANIEL SORENSEN D.D.S.
40 W. CACHE VALLEY BLVD. #2A
LOGAN, UT 84341
Phone number: 435-787-8207
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Mailing Address
Dr. JAKE DANIEL SORENSEN D.D.S.
169 SOUTH 380 EAST
SMITHFIELD, UT 84335
Phone number: 435-213-6991
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