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Ivan Soberanes, DMD

NPI 1215385976 · on the registry since 2016

Practice

Address
27 Baribeau Dr
Brunswick, ME 04011
Phone
(207) 729-6531
Organisation at this address
Brunswick Dental Health Assoc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine