Organization
ROBERT R. RADZ DDS, PS.
Active
Other names
South Hill Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R RADZ DDS (PRESIDENT)
(253) 848-2988
Entity
Organization
Contact information
Practice address
10217 123RD STREET CT E, SUITE 100, PUYALLUP, WA 98374-2633
(253) 848-2988
(253) 840-9221
Mailing address
10217 123RD STREET CT E, SUITE 100, PUYALLUP, WA 98374-2633
(253) 848-2988
(253) 840-9221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205983277
INDIVIDUAL NPI
WA
Enumeration date
02/01/2007
Last updated
08/22/2020
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