Organization
DAVID M. ROLSTEN, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ANN FLOR (OFFICE MANAGER)
(419) 342-3891
Entity
Organization
Contact information
Practice address
102 AUBURN AVE, SHELBY, OH 44875-1104
(419) 342-3891
(419) 342-3897
Mailing address
102 AUBURN AVE, SHELBY, OH 44875-1104
(419) 342-3891
(419) 342-3897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016789
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528135969
NPI TYPE 1
OH
Enumeration date
04/15/2008
Last updated
04/15/2008
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