Organization
RADU V. WOLF D.D.S.,PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADU V WOLF DDS (CEO/PRESIDENT)
(425) 778-0600
Entity
Organization
Contact information
Practice address
7935 216TH ST SW, STE.A, EDMONDS, WA 98026-7941
(425) 778-0600
(206) 347-3480
Mailing address
7935 216TH ST SW, STE.A, EDMONDS, WA 98026-7941
(425) 778-0600
(206) 347-3480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8174
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031588
—
WA
01
—
58174
WDS
WA
01
—
990344
UNITED CONCORDIA
WA
Enumeration date
10/03/2006
Last updated
08/22/2020
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