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Individual
DR. KEITH STEVEN ROTTMAN
Active
Individual
DR. KEITH STEVEN ROTTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019018808
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013501
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30017878
OH
Other
Enumeration date
01/01/2007
Last updated
12/04/2008
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