| NPI | 1902452139 |
|---|---|
| Doing Business As | TRIAD KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | TERESA ZWICKY Credentialing Manager 480-866-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2025-10-16 |