Rolla Family Dentistry INC

NPI #1154725745 in Rolla, Missouri

Provider Information

NPI Number: 1154725745
Entity Type: Organization
Organization Name: Rolla Family Dentistry INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 10, 2014
Last Updated: Oct 10, 2014

Practice Location

Address: 1701 E 10TH ST
City: Rolla
State: Missouri
ZIP Code: 65401-4601
Phone: (573) 364-1599

Authorized Official

Name: JEREMY KIERSZ, DDS
Title: OWNER/PRESIDENT
Phone: (573) 364-1599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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