Individual
STEVEN ROHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10151 MONTGOMERY BLVD NE, SUITE 2-D, ALBUQUERQUE, NM 87111-3670
(505) 292-3400
(505) 292-7124
Mailing address
10151 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-3664
(505) 292-3400
(505) 292-7124
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1307
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83691
—
NM
Enumeration date
10/20/2005
Last updated
07/08/2007
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