Individual
DR. JACOB DEAN SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 1ST AVE N, SUITE 2, CLEAR LAKE, IA 50428-1725
(641) 357-8111
(641) 357-7713
Mailing address
800 1ST AVE N, SUITE 2, CLEAR LAKE, IA 50428-1725
(641) 357-8111
(641) 357-7713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08647
IA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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