| Myorthos Holdings, Llc | |
|
3909 Main St Bridgeport CT 06606-2872 | |
| (203) 374-1911 | |
| Not Available |
| Full Name | Myorthos Holdings, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3909 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Elizabeth Campbell (CEO) |
| Authorized Official Contact | 4045391904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myorthos Holdings, Llc 131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: () - | Myorthos Holdings, Llc 3909 Main St Bridgeport CT 06606-2872 Ph: (203) 374-1911 |
| NPI Number | 1184258386 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184258386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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