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
510 NICHOLAS RD STE F, GREENSBORO, NC 27409-3404
(336) 387-9168
Mailing address
510 NICHOLAS RD, F, GREENSBORO, NC 27409-3399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9846
NC
Other
Enumeration date
03/02/2015
Last updated
08/15/2025
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