# JULIANNE MANZO SOTOMIL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275039497
- **Gender:** Man
- **Credential:** DMD, MSD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 12012615A | IN | — |
| 1223P0700X | Prosthodontics | 30.028337 | OH | Yes |

## Other

- **Enumeration date:** 04/05/2018
- **Last updated:** 10/05/2026
