| NPI | 1174542328 |
|---|---|
| Doing Business As | SPRINGFIELD LORTON DENTAL GORUP |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ROSENMAN President 703-256-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005618) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401005600) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401410398) | |
| 1223G0001X Dentist, General Practice (Licence: VA 0401410758) | |
| 1223P0300X Dentist, Periodontics (Licence: VA 0401410981) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |