Organization
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Active
Parent organization
MYORTHOS PENNSYLVANIA ORTHODONTICS PC
Other names
Orthodontics Limited
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
2137 WELSH RD STE 1B, PHILADELPHIA, PA 19115-4963
(215) 676-7846
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
12/22/2021
Last updated
11/20/2024
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