| Michael D Rosvall, Dds Ms, Inc | |
|
13178 S 5600 W Herriman UT 84096-6728 | |
| (801) 253-6645 | |
| (801) 253-0735 |
| Full Name | Michael D Rosvall, Dds Ms, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13178 S 5600 W, Herriman, Utah |
| Authorized Official Name and Position | Michael D Rosvall (PRESIDENT) |
| Authorized Official Contact | 6144049429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Rosvall, Dds Ms, Inc 13178 S 5600 W Herriman UT 84096-6728 Ph: (801) 253-6645 | Michael D Rosvall, Dds Ms, Inc 13178 S 5600 W Herriman UT 84096-6728 Ph: (801) 253-6645 |
| NPI Number | 1760777247 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760777247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6834576-9921 (Utah) | Primary |
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