| Omnidentix | |
|
555 Bedford St Unit 3 Bridgewater MA 02324 | |
| (508) 807-4736 | |
| (508) 807-4743 |
| Full Name | Omnidentix |
|---|---|
| Speciality | Dentist |
| Location | 555 Bedford St, Bridgewater, Massachusetts |
| Authorized Official Name and Position | Chong S Lee (OWNER) |
| Authorized Official Contact | 5088074736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnidentix 555 Bedford St Unit 3 Bridgewater MA 02324 Ph: (508) 807-4736 | Omnidentix 555 Bedford St Unit 3 Bridgewater MA 02324 Ph: (508) 807-4736 |
| NPI Number | 1164714481 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164714481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18866 (Massachusetts) | Primary |
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