| NPI | 1104203579 |
|---|---|
| Doing Business As | TRIAD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TERESA ZWICKY Credentialing Manager 480-866-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 9846) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-05-10 |