Individual
ROSS LOUIS ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
329 EDWIN DR STE 200, VIRGINIA BEACH, VA 23462-4545
(757) 499-9839
Mailing address
420 MONTICELLO AVE APT 414B, NORFOLK, VA 23510-2686
(703) 470-8074
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401417203
VA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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