Individual
JULIANNE MANZO SOTOMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
1121 W MICHIGAN ST # S312, INDIANAPOLIS, IN 46202-5211
(317) 274-5576
Mailing address
423 CANAL COURT NORTH DR APT B, INDIANAPOLIS, IN 46202-4634
(317) 459-1135
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12012615A
IN
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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