Individual provider · Type 1 NPI

Ira M. Rosenthal, DDS

Periodontics · Fairfax, VA

NPI number 1639399306 Active

Practice location

9661 Main St, Suite C
Fairfax, VA 22031-3757

Call (703) 425-3737 Map

Fax (703) 425-3762

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0401007625 (VA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1639399306

Ira M. Rosenthal, DDS's National Provider Identifier is 1639399306, issued on Apr 26, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.