Organization
EMPIRE STATE ORTHODONTICS, PC
Active
Parent organization
EMPIRE STATE ORTHODONTICS, PC
Other names
Scotia Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPIRE STATE ORTHODONTICS, PC
Authorized official
CASEY LONABOCKER (VP STRATEGY AND OPERATIONS)
(617) 535-3364
Entity
Organization
Contact information
Practice address
207 MOHAWK AVE # 1A, SCOTIA, NY 12302-2150
(518) 535-3294
Mailing address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/20/2024
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