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NPI Code Detail

MEDICARE: LAROSILIERE AND ASSOCIATES DENTAL CARE, PA

MEDICARE: LAROSILIERE AND ASSOCIATES DENTAL CARE, PA
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
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588221030
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAROSILIERE AND ASSOCIATES DENTAL CARE, PA
Provider Business Mailing Address
First Line : 1201 S CAPITOL ST SW STE B
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-3529
Country : US
Telephone Number : 202-621-8446
Fax Number : 202-621-8602
Provider Business Practice Location Address
First Line : 1201 S CAPITOL ST SW STE B
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-3529
Country : US
Telephone Number : 202-621-8446
Fax Number : 202-621-8602
Authorized Official
Title or Position : PRESIDENT
Name : DR. PATRICK B LAROSILIERE
Credential : DDS
Telephone Number : 202-621-8446
Provider Enumeration Date : 05/21/2019
Last Update Date : 05/21/2019

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Directions to “LAROSILIERE AND ASSOCIATES DENTAL CARE, PA ” Practice Location

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