Individual
DR. MICHAEL D ROSVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
578 GROVE CIR, ALPINE, UT 84004-1210
(801) 253-6645
Mailing address
578 EAST GROVE CIRCLE, ALPINE, UT 84004
(801) 253-6645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6834576-9921
UT
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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