| NPI | 1265265680 |
|---|---|
| Doing Business As | TRIAD KIDS DENTAL - DANVILLE |
| Entity Type | Organization |
| Authorized Contact | TERESA ZWICKY Cred Mgr 480-866-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-12-23 |