# HARDEEP DHALIWAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811163611
- **Gender:** Man
- **Credential:** MD, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | GA60383740 | WA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE60377088 | WA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DE60377088 | WA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD60383921 | WA | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | MD60383921 | WA | — |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 10/23/2025
