Individual
GERALD ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4660 KENMORE AVE, SUITE # 204, ALEXANDRIA, VA 22304-1313
(703) 370-3012
(703) 370-6005
Mailing address
4660 KENMORE AVE, SUITE # 204, ALEXANDRIA, VA 22304-1313
(703) 370-3012
(703) 370-6005
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
05390
VA
Other
Enumeration date
06/04/2006
Last updated
09/30/2010
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