Organization
VISITING DENTAL ASSOCIATES OF MA INC
Active
Organization
VISITING DENTAL ASSOCIATES OF MA INC
Active
Other names
Visiting Dental Associates of MA LLC, Visiting Dental Of MA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY J GRINHAM RDH (EXECUTIVE DIRECTOR)
(888) 236-3536
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
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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