MR. OLAV SORENSEN, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1184999708
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D-4435 (ID) |
Frequently Asked Questions
NPI 1184999708 is the National Provider Identifier for MR. OLAV SORENSEN, D.M.D., a Dentist - General Practice provider located in Blackfoot, ID. This NPI was enumerated on March 14, 2012.
MR. OLAV SORENSEN, D.M.D. practices at 621 JENSEN GROVE DR, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1184999708
- Type
- Individual
- Enumerated
- Mar 14, 2012
- Last Updated
- Apr 23, 2021
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