Organization
NICOLE J MANIGAULT DDS PLLC
Active
Other names
ManiDental Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN A MANIGAULT (BUSINESS MANAGER)
(336) 835-3337
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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