Individual
DR. SOGOLE SIBYL MOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
765 S MAIN ST, SUITE 302, MANCHESTER, NH 03102-5141
(603) 669-4503
Mailing address
765 S MAIN ST, SUITE 302, MANCHESTER, NH 03102-5141
(603) 669-4503
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
03862
NH
Other
Enumeration date
07/03/2009
Last updated
04/23/2013
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