Organization
VISITING DENTAL XRAYS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GRINHAM RDH (PRESIDENT)
(508) 813-6034
Entity
Organization
Contact information
Practice address
15 SLAB BRIDGE RD, ASSONET, MA 02702-1434
(508) 813-6034
Mailing address
15 SLAB BRIDGE RD, ASSONET, MA 02702-1434
(508) 813-6034
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9903769
—
MA
Enumeration date
08/21/2017
Last updated
07/21/2022
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