Most Relevant Information
Provider Data
| NPI Number: | 1003025107 |
| Provider Name: | ROGER ALAN DAHLSEID D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2180 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
228 CIBEQUE CIRCLE
CIBEQUE CIRCLE
SAN CARLOS
AZ
855500208
Practice Location Phone/Fax
| Phone: | 9284757354 |
| Fax: | 9284757380 |
Provider Mailing Location
PO BOX 208
CIBEQUE CIRCLE
SAN CARLOS
AZ
855500208
Provider Mailing Phone/Fax
| Phone: | 9284757354 |
| Fax: | 9284757380 |