Individual
MICHAEL ROSSITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3698 LARGENT WAY NW, SUITE 201, MARIETTA, GA 30064-5923
(770) 420-6565
(770) 420-6570
Mailing address
3698 LARGENT WAY NW, SUITE 201, MARIETTA, GA 30064-5923
(770) 420-6565
(770) 420-6570
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN012962
LICENSE
—
Enumeration date
12/20/2006
Last updated
03/07/2023
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