| NPI | 1194830380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M ROSENBERG President Practitioner 703-893-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401003887) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-01-15 |