Edwin Paul Radtke JR., DMD

NPI #1952409641 in Portland, Oregon

Provider Information

NPI Number: 1952409641
Entity Type: Individual
Name: Edwin Paul Radtke JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 907 NW 18TH AVE
City: Portland
State: Oregon
ZIP Code: 97209
Phone: (503) 223-5110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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