Organization
LAROSILIERE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK LAROSILIERE DDS (PRESIDENT)
(301) 773-7703
Entity
Organization
Contact information
Practice address
1401 MERCANTILE LN, 102, LARGO, MD 20774-4301
(301) 773-7703
(301) 773-7708
Mailing address
1401 MERCANTILE LN, 102, LARGO, MD 20774-4301
(301) 773-7703
(301) 773-7708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12811
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040018200
—
DC
Enumeration date
01/13/2011
Last updated
01/13/2011
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