Individual
JOSEPH C ARDIZZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30317 16TH AVE S, FEDERAL WAY, WA 98003-4124
(253) 839-7270
(253) 941-1336
Mailing address
30317 16TH AVE S, FEDERAL WAY, WA 98003-4124
(253) 839-7270
(253) 941-1336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91-1594091
TAX ID #
WA
Enumeration date
12/17/2009
Last updated
12/17/2009
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