Individual
DR. KEITH L ROSDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
1959 COMMERCE CENTER CIR., PRESCOTT, AZ 86301
(928) 771-8166
Mailing address
1959 COMMERCE CENTER CIR, PRESCOTT, AZ 86301-7419
(928) 771-8166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4345
AZ
Other
Enumeration date
02/02/2008
Last updated
10/13/2011
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