| NPI | 1770754160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE REBECCA LAROSILIERE Owner 301-552-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 12378) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2019-04-25 |