Organization
MICHAEL D ROSVALL, DDS MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D ROSVALL DDS, MS (PRESIDENT)
(614) 404-9429
Entity
Organization
Contact information
Practice address
13178 S 5600 W, HERRIMAN, UT 84096-6728
(801) 253-6645
(801) 253-0735
Mailing address
13178 S 5600 W, HERRIMAN, UT 84096-6728
(801) 253-6645
(801) 253-0735
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6834576-9921
UT
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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