Organization
MYORTHOS VIRGINIA ORTHODONTICS, PC
Active
Parent organization
MYORTHOS VIRGINIA ORTHODONTICS, PC
Other names
Bivins Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS VIRGINIA ORTHODONTICS, PC
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
220 MOUNT PLEASANT RD, CHESAPEAKE, VA 23322-4113
(757) 546-3888
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
09/29/2021
Last updated
11/20/2024
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