Individual
DR. MICHAEL EDWARD RADETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 W 2ND ST, WASHINGTON, MO 63090-2531
(636) 239-5052
Mailing address
10 W 2ND ST, WASHINGTON, MO 63090-2531
(636) 239-5052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12538
MO
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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