| NPI | 1740058007 |
|---|---|
| Doing Business As | ELLIS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASEY LONABOCKER Vice President Operations 617-665-7241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |