Individual
DR. MICHAEL ROTTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5113 LEESBURG PIKE, #811, FALLS CHURCH, VA 22041-3257
(703) 671-1020
(703) 671-1081
Mailing address
8100 WILDFLOWER DR, FAIRFAX STATION, VA 22039-2436
(703) 978-1384
(703) 250-0594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005023
VA
Other
Enumeration date
09/06/2005
Last updated
07/08/2007
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