Organization
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Active
Parent organization
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Other names
Leiss Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
132 JOHN ROBERT THOMAS DR, EXTON, PA 19341
(610) 363-2900
(610) 363-7722
Mailing address
132 JOHN ROBERT THOMAS DR, EXTON, PA 19341
(610) 363-2900
(610) 363-7722
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
11/20/2024
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