Consolacion Soberano, DDS

NPI #1316947476 in Arverne, New York

Provider Information

NPI Number: 1316947476
Entity Type: Individual
Name: Consolacion Soberano, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 29, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 6710 ROCKAWAY BEACH BLVD
City: Arverne
State: New York
ZIP Code: 11692-1271
Phone: (718) 945-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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