NPI 1073742615

Sogole Sibyl Moin, DMD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Manchester, NH

Practice location

Address: 765 S Main St Suite 302, Manchester, NH 03102-5141
Phone: (603) 669-4503

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 03862 (NH)

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Registry record

NPI: 1073742615
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2009
Record last updated: 23 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.