Individual
DR. PATRICK B LAROSILIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5805 SILVER HILL RD, # G, DISTRICT HEIGHTS, MD 20747-1168
(301) 568-8444
(301) 568-8447
Mailing address
5805 SILVER HILL RD, # G, DISTRICT HEIGHTS, MD 20747-1168
(301) 568-8444
(301) 568-8447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12811
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12811
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401712900
—
MD
05
—
407170100
—
MD
Enumeration date
10/12/2005
Last updated
05/21/2019
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