Organization
MYORTHOS HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CAMPBELL (CEO)
(404) 539-1904
Entity
Organization
Contact information
Practice address
3909 MAIN ST, BRIDGEPORT, CT 06606-2872
(203) 374-1911
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
02/26/2020
Last updated
02/26/2020
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