NPI 1699750802

Mark T Roszkowski, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Burnsville, MN

Practice location

Address: 625 E Nicollet Blvd STE 205, Burnsville, MN 55337-6734
Phone: (952) 435-0310
Fax: (952) 435-0311

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D10761 (MN)

Other Oral & Maxillofacial Surgery providers in Minnesota →

Registry record

NPI: 1699750802
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2005
Record last updated: 9 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.