Organization
MYORTHOS CONNECTICUT ORTHODONTICS, P.C.
Active
Parent organization
MYORTHOS CONNECTICUT ORTHODONTICS, P.C.
Other names
Baum Braces
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS CONNECTICUT ORTHODONTICS, P.C.
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
23 CHURCH HILL RD, NEWTOWN, CT 06470-1612
(203) 426-5900
Mailing address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
(617) 535-3305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
11/20/2024
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