| NPI | 1912202508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LAROSILIERE President 301-773-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12811) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |