# WOLF,D.D.S., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aegis Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336354596
- **Authorized official:** RADU V WOLF DDS (DENTIST)
- **Authorized official phone:** (425) 775-6714

## Contact information

- **Practice address:** 7935 216TH ST SW, SUITE B, EDMONDS, WA 98026-7941
- **Practice address phone:** (425) 775-6714
- **Mailing address:** 7935 216TH ST SW STE B, EDMONDS, WA 98026-7941
- **Mailing address phone:** (425) 775-6714
- **Mailing address fax:** (206) 347-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE8174 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020