# RONALD M ROSENBERG DDS MS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194830380
- **Authorized official:** DR. RONALD M ROSENBERG DDS (PRESIDENT PRACTITIONER)
- **Authorized official phone:** (703) 893-1640

## Contact information

- **Practice address:** 8308 OLD COURTHOUSE RD, SUITE D, VIENNA, VA 22182
- **Practice address phone:** (703) 893-1640
- **Practice address fax:** (703) 893-2004
- **Mailing address:** 8308 OLD COURTHOUSE RD, SUITE D, VIENNA, VA 22182
- **Mailing address phone:** (703) 893-1640
- **Mailing address fax:** (703) 893-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401003887 | VA | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 01/15/2014