Organization
MYORTHOS MASSACHUSETTS ORTHODONTICS PC
Active
Parent organization
MYORTHOS MASSACHUSETTS ORTHODONTICS PC
Other names
Wilbraham Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYORTHOS MASSACHUSETTS ORTHODONTICS PC
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization
Contact information
Practice address
3 CRANE PARK DR STE 5, WILBRAHAM, MA 01095-1788
(413) 596-9657
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
10/04/2023
Last updated
11/20/2024
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