Individual
DR. RONALD M ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8308 OLD COURTHOUSE RD, VIENNA, VA 22182-3863
(703) 893-1640
(703) 893-2004
Mailing address
8308 OLD COURTHOUSE RD, VIENNA, VA 22182-3863
(703) 893-1640
(703) 893-2004
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
040103887
VA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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