Individual
MS. NICOLE J MANIGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
835 CLAREMONT CENTER DR, ELKIN, NC 28621-2488
(336) 835-3337
(336) 835-1241
Mailing address
835 CLAREMONT CENTER DR, ELKIN, NC 28621-2488
(336) 835-3337
(336) 835-1241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9791
NC
Other
Enumeration date
07/08/2014
Last updated
03/08/2022
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