DR. Ivan Soberanes, DMD

NPI #1215385976 in Brunswick, Maine

Provider Information

NPI Number: 1215385976
Entity Type: Individual
Name: DR. Ivan Soberanes, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 2, 2016
Last Updated: Jan 23, 2019

Practice Location

Address: 27 BARIBEAU DR
City: Brunswick
State: Maine
ZIP Code: 04011-2929
Phone: (207) 729-6531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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