Organization
MYORTHOS ILLINOIS ORTHODONTICS PC
Active
Other names
Pasha Orthodontics Naperville
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LONABOCKER (VICE PRESIDENT OPERATIONS)
(617) 535-3364
Entity
Organization
Contact information
Practice address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
(617) 535-3305
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
06/09/2022
Last updated
09/02/2025
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