| Myorthos Illinois Orthodontics Pc | |
|
2728 Woodlane Dr Janesville WI 53545-0433 | |
| (608) 563-5011 | |
| Not Available |
| Full Name | Myorthos Illinois Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2728 Woodlane Dr, Janesville, Wisconsin |
| Authorized Official Name and Position | Casey Lonabocker (VICE PRESIDENT OPERATIONS) |
| Authorized Official Contact | 6176657241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myorthos Illinois Orthodontics Pc 131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: (617) 665-7241 | Myorthos Illinois Orthodontics Pc 2728 Woodlane Dr Janesville WI 53545-0433 Ph: (608) 563-5011 |
| NPI Number | 1740058007 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740058007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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