Organization
D.C. SURGICAL ARTS CENTER FOR ORAL AND FACIAL COSMETIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MICHAEL ROTHENBERG D.D.S., M.D. (MANAGING MEMBER)
(347) 989-2010
Entity
Organization
Contact information
Practice address
4301 50TH ST NW, SUITE 200, WASHINGTON, DC 20016-4364
(202) 360-4032
(202) 480-8149
Mailing address
4301 50TH ST NW, SUITE 200, WASHINGTON, DC 20016-4364
(202) 360-4032
(202) 480-8149
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1001223
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN1001225
DC
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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