| NPI | 1265907612 |
|---|---|
| Doing Business As | TRIAD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HEARNE Director Of Operations 520-227-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |