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Individual

LARISSA N RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 E WEST HWY # 3, SILVER SPRING, MD 20910-8200
(240) 534-1661
Mailing address
650 REALM CT W, ODENTON, MD 21113-1559
(301) 674-3569

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9292
MD

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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