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Dr Larosiliere DDS- Bowie INC

Dentist, Pediatric Dentistry in Bowie, MD. Organization (NPI-2).

NPI number1245812866
StatusActive
Last updated in NPPESApr 23, 2021

Details

NPI
1245812866
Entity type
Organization (NPI-2)
Legal business name
Dr Larosiliere DDS- Bowie INC
Organization subpart
No
Enumeration date
Apr 23, 2021
Certification date
Mar 30, 2021
Last updated
Apr 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Other names

  • Smiles Pediatric Dental Care (Doing Business As)

Practice location

6000 Laurel Bowie Rd
Bowie, MD 20715-4000

Phone 301-805-5437

Mailing address

6000 Laurel Bowie Rd
Bowie, MD 20715-4000

Authorized official

Diana Burton
Operations Manager
7206034779

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