Organization
MYORTHOS VIRGINIA ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
(617) 863-2186
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
09/29/2021
Last updated
11/20/2024
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