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1073791919
KEITH L ROSDAHL
PRESCOTT, AZ
NPI
1073791919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D4345)
Enumeration Date
2008-02-02
Last Update Date
2011-10-13
Business Address
Dr. KEITH L ROSDAHL D.D.S., P.C.
1959 COMMERCE CENTER CIR.
PRESCOTT, AZ 86301
Phone number: 928-771-8166
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Mailing Address
Dr. KEITH L ROSDAHL D.D.S., P.C.
1959 COMMERCE CENTER CIR
PRESCOTT, AZ 86301-7419
Phone number: 928-771-8166
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PRESCOTT DENTISTRY, PLLC