Individual
ERNESTO ALENIADO SOBERANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 PRESTON RD, JACKSONVILLE, NC 28540-5656
(757) 444-8654
Mailing address
301 PRESTON RD, JACKSONVILLE, NC 28540-5656
(757) 444-8654
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7404
NC
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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