Organization
MANENTE NC, PC
Active
Organization
MANENTE NC, PC
Active
Parent organization
MANENTE NC PC
Other names
McMillian Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANENTE NC PC
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
1126 N CHURCH ST STE 100, GREENSBORO, NC 27401-1035
(336) 272-3737
Mailing address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
(617) 665-7241
(617) 665-7241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
11/20/2024
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