Individual
DR. MANPREET SINGH DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10725 SE 256TH ST, SUITE 1, KENT, WA 98030-8285
(206) 349-3857
Mailing address
12309 SE 314TH PL, AUBURN, WA 98092-0986
(206) 349-3857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60243483
WA
1223G0001X
General Practice Dentistry
2901020435
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024505
—
WA
Enumeration date
09/08/2011
Last updated
07/25/2016
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