Organization
ROBERTS, WALLACE & ASSOCIATES PLLC
Active
Other names
Triad Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization
Contact information
Practice address
5069 UNIVERSITY PKWY # 11, WINSTON SALEM, NC 27106-6083
(336) 714-5726
(336) 792-4202
Mailing address
5069 UNIVERSITY PKWY, 11, WINSTON SALEM, NC 27106-6083
(336) 714-5726
(336) 792-4202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9846
NC
Other
Enumeration date
05/05/2015
Last updated
08/15/2025
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