Myorthos Illinois Orthodontics PC
Dentist, Orthodontics and Dentofacial Orthopedics in Aurora, IL. Organization (NPI-2).
NPI number1780452003
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1780452003
- Entity type
- Organization (NPI-2)
- Legal business name
- Myorthos Illinois Orthodontics PC
- Organization subpart
- Yes
- Enumeration date
- Dec 15, 2023
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Pasha Orthodontics (Doing Business As)
Practice location
452 N Eola Rd Ste CAurora, IL 60502-9110
Phone 630-820-1200
Mailing address
452 N Eola Rd Ste CAurora, IL 60502-9110
Phone 630-820-1200
Other practice locations
4827 S Route 59 Ste 115
Naperville, IL 60564-8318
Naperville, IL 60564-8318
Phone 630-527-6000
1111 S Washington St Fl 1
Naperville, IL 60540-7953
Naperville, IL 60540-7953
Phone 630-961-3810 · Fax 630-961-2466
Authorized official
Casey Lonabocker
Vp Operations & Strategy
6175353364
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