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NPI Code Detail

MEDICARE: DR. PATRICK B LAROSILIERE D.D.S.

MEDICARE:  DR. PATRICK B LAROSILIERE  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12811MD
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry12811MD

Other Identifiers

General Provider Information

NPI Number : 1255329397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK B LAROSILIERE D.D.S.
Provider Business Mailing Address
First Line : 5805 SILVER HILL RD
Second Line : # G
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1168
Country : US
Telephone Number : 301-568-8444
Fax Number : 301-568-8447
Provider Business Practice Location Address
First Line : 5805 SILVER HILL RD
Second Line : # G
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1168
Country : US
Telephone Number : 301-568-8444
Fax Number : 301-568-8447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 05/21/2019

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Directions to “ DR. PATRICK B LAROSILIERE D.D.S.” Practice Location

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