Organization
MYORTHOS RHODE ISLAND ORTHODONTICS PC
Active
Parent organization
MYORTHOS RHODE ISLAND ORTHODONTICS PC
Other names
DeQuattro Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS RHODE ISLAND ORTHODONTICS PC
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
24 SALT POND RD STE C1, WAKEFIELD, RI 02879-4304
(401) 783-9890
Mailing address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
(617) 665-7241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
11/20/2024
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