# DHANOA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619818861
- **Authorized official:** AJAIPAL DHANOA DDS (OWNER)
- **Authorized official phone:** (206) 407-8199

## Contact information

- **Practice address:** 20639 SR 410 E, BONNEY LAKE, WA 98391-8461
- **Practice address phone:** (253) 528-7148
- **Mailing address:** 20639 SR 410 E, BONNEY LAKE, WA 98391-8461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 04/02/2026
