# ROBERT R. RADZ DDS, PS.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Hill Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093853129
- **Authorized official:** DR. ROBERT R RADZ DDS (PRESIDENT)
- **Authorized official phone:** (253) 848-2988

## Contact information

- **Practice address:** 10217 123RD STREET CT E, SUITE 100, PUYALLUP, WA 98374-2633
- **Practice address phone:** (253) 848-2988
- **Practice address fax:** (253) 840-9221
- **Mailing address:** 10217 123RD STREET CT E, SUITE 100, PUYALLUP, WA 98374-2633
- **Mailing address phone:** (253) 848-2988
- **Mailing address fax:** (253) 840-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8167 | WA | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205983277 | INDIVIDUAL NPI | WA |