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Organization
VISITINGDENTAL ASSOCIATES OF MA LLC
Active
Organization
VISITINGDENTAL ASSOCIATES OF MA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JEAN GRINHAM RDH (EXECUTIVE DIRECTOR)
(888) 236-3536
Entity
Organization
Contact information
Practice address
18 PURCHASE ST, MIDDLEBORO, MA 02346-3356
(888) 236-3536
Mailing address
18 PURCHASE ST, MIDDLEBORO, MA 02346-3356
(888) 236-3536
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
12768
MA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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