Diane Larosa

NPI #1053810291 in Pontiac, Michigan

Provider Information

NPI Number: 1053810291
Entity Type: Individual
Name: Diane Larosa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 816 JOSLYN AVE
City: Pontiac
State: Michigan
ZIP Code: 48340-2919
Phone: (248) 758-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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