# RADU V. WOLF D.D.S.,PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528152683
- **Authorized official:** RADU V WOLF DDS (CEO/PRESIDENT)
- **Authorized official phone:** (425) 778-0600

## Contact information

- **Practice address:** 7935 216TH ST SW, STE.A, EDMONDS, WA 98026-7941
- **Practice address phone:** (425) 778-0600
- **Practice address fax:** (206) 347-3480
- **Mailing address:** 7935 216TH ST SW, STE.A, EDMONDS, WA 98026-7941
- **Mailing address phone:** (425) 778-0600
- **Mailing address fax:** (206) 347-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8174 | WA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5031588 | — | WA |
| 01 | — | 58174 | WDS | WA |
| 01 | — | 990344 | UNITED CONCORDIA | WA |