Organization
MYORTHOS CONNECTICUT ORTHODONTICS PC
Active
Parent organization
MYORTHOS CONNECTICUT ORTHODONTICS PC
Other names
Orthodontic Associates of Southeastern Connecticut
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS CONNECTICUT ORTHODONTICS PC
Authorized official
CASEY R LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
196 PARKWAY SOUTH, SUITE 305, WATERFORD, CT 06385
(860) 443-1827
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
12/23/2021
Last updated
11/20/2024
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