| NPI | 1669097150 |
|---|---|
| Former Legal Business Name | VISITING DENTAL OF MA LLC |
| Former Legal Business Name | VISITING DENTAL ASSOCIATES OF MA LLC |
| Entity Type | Organization |
| Authorized Contact | CATHY J GRINHAM Executive Director 888-236-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |