| NPI | 1669072591 |
|---|---|
| Doing Business As | TRIAD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TERESA ZWICKY Credentialing Manager 623-282-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |