| NPI | 1770707572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROTHMAN Owner 703-370-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 05390) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-11-13 |