Individual
LAURA EILEEN RUSHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
114 BARTLETT ST, BOSTON, MA 02129-2419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857620
MA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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