Organization
EMPIRE STATE ORTHODONTICS, P.C.
Active
Parent organization
EMPIRE STATE ORTHODONTICS, P.C
Other names
Duthie Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPIRE STATE ORTHODONTICS, P.C
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
2 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 225-2095
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
11/02/2021
Last updated
11/20/2024
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