# ONSITE 3D DENTAL IMAGING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Dental Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922248384
- **Authorized official:** MRS. LAURA H BONHAM RN (VICE-PRESIDENT)
- **Authorized official phone:** (832) 813-8613

## Contact information

- **Practice address:** 1011 MEDICAL PLAZA DR, SUITE 130, THE WOODLANDS, TX 77380-3249
- **Practice address phone:** (832) 813-8613
- **Practice address fax:** (866) 325-8196
- **Mailing address:** 1011 MEDICAL PLAZA DR, SUITE 130, THE WOODLANDS, TX 77380-3249
- **Mailing address phone:** (832) 813-8613
- **Mailing address fax:** (866) 325-8196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 02/25/2009