Individual
LORI RAINCHUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH MS
Contact information
Practice address
5 DELANSON CIR, WELLESLEY, MA 02482-4623
(860) 919-5674
Mailing address
5 DELANSON CIR, WELLESLEY, MA 02482-4623
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH87450
MA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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