Individual
DR. RAINIER A URDANETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 ARBORWAY, JAMAICA PLAIN, MA 02130-3663
(617) 524-3900
Mailing address
25 PRAIRIE AVE, AUBURNDALE, MA 02466-2103
(617) 527-8554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19656
MA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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