OrganizationDavid A SoberonDentistDental ProvidersPractice AddressFrida Kahlo 14410-510, Tijuana, BC 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider David A Soberon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1447965561Provider TypeOrganizationFull NameDavid A SoberonSubpartNoEnumeration Date1/23/2023Last Updated1/23/2023Contact InformationPractice LocationPractice AddressFrida Kahlo 14410-510, Tijuana, BC 22010 (Mexico)Phone(619) 488-3200FaxUnlisted FaxMailing LocationMailing Address4275 Executive Sq Ste 302, La Jolla, CA 92037-9123PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameSoberon, David A (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer