Individual
DR. MICHAEL ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
55 WHITCHER ST NE, SUITE 140, MARIETTA, GA 30060-1155
(770) 924-4095
(706) 258-2320
Mailing address
85 GOLF CREST DR STE 209, ACWORTH, GA 30101-2698
(770) 672-5629
(706) 258-2320
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014484
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161675
—
GA
Enumeration date
04/05/2011
Last updated
07/08/2024
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