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Individual
KARL RYAN ROSELL
Active
Individual
KARL RYAN ROSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63453
CA
1223G0001X
General Practice Dentistry
61120
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES-30590
IA
Other
Enumeration date
08/04/2014
Last updated
08/05/2020
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