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Organization

EMPIRE STATE ORTHODONTICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY LONABOCKER (VP OPERATIONS & STRATEGY)
(617) 535-3364
Entity
Organization

Contact information

Practice address
2840 MILITARY RD, NIAGARA FALLS, NY 14304-1566
(716) 285-3588
Mailing address
131 DARTMOUTH ST FL 3, BOSTON, MA 02116-5297
(978) 846-3303

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
06/18/2020
Last updated
11/20/2024
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