Organization
HAMPTON DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DEAN SORENSEN DDS (OWNER)
(641) 456-3352
Entity
Organization
Contact information
Practice address
27 N FEDERAL ST, HAMPTON, IA 50441-1933
(641) 456-3352
Mailing address
27 N FEDERAL ST, HAMPTON, IA 50441-1933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08647
IA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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