Mr. OLAV JENS SORENSEN D.M.D.
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1184999708- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 621 JENSEN GROVE DR, BLACKFOOT, ID, 832211685
- Phone
- (208) 915-8419
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #d-4435