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Individual

DR. LAWRENCE IRA ALAN ROTHENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
5454 WISCONSIN AVE, SUITE #1350, CHEVY CHASE, MD 20815-6901
(301) 652-1545
(301) 652-4171
Mailing address
5454 WISCONSIN AVE, SUITE #1350, CHEVY CHASE, MD 20815-6901
(301) 652-1545
(301) 652-4171

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
MD5547
MD

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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