Individual
DR. IVAN SOBERANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
27 BARIBEAU DR, BRUNSWICK, ME 04011-2929
(207) 729-6531
Mailing address
27 BARIBEAU DR, BRUNSWICK, ME 04011-2929
(207) 729-6531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4485
ME
Other
Enumeration date
06/02/2016
Last updated
01/23/2019
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