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Individual

MRS. ARLENE D SOBERANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2401 NEWNAN CROSSING BLVD E STE 210, NEWNAN, GA 30265-2409
(770) 251-5777
Mailing address
2401 NEWNAN CROSSING BLVD E STE 210, NEWNAN, GA 30265-2409
(770) 251-5777
(770) 252-9347

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011836
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00826053
GA
01
DN011836
STATE DENTAL LICENSE
GA
Enumeration date
09/14/2006
Last updated
01/31/2024
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