Organization
MYORTHOS MASSACHUSETTS ORTHODONTICS. P.C.
Active
Parent organization
MYORTHOS MASSACHUSETTS ORTHODONTICS, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS MASSACHUSETTS ORTHODONTICS, P.C.
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
247 HANOVER ST, HANOVER, MA 02339-2208
(781) 826-3900
Mailing address
131 DARTMOUTH ST, BOSTON, MA 02116-5297
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
11/20/2024
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