Individual
JENNIFER LIN SORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
532 N MALLARD DR UNIT A, VINEYARD, UT 84059-6606
(210) 213-8685
Mailing address
532 N MALLARD DR UNIT A, VINEYARD, UT 84059-6606
(210) 213-8685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11778108-9922
UT
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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