# DHALIWAL, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Dental care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750834883
- **Authorized official:** DR. MANPREET DHALIWAL DDS (OWNER)
- **Authorized official phone:** (253) 854-2714

## Contact information

- **Practice address:** 10725 SE 256TH ST STE 1, KENT, WA 98030-8285
- **Practice address phone:** (253) 854-2714
- **Mailing address:** 10725 SE 256TH ST STE 1, KENT, WA 98030-8285
- **Mailing address phone:** (253) 854-2714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60243483 | WA | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 07/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2024505 | — | WA |
