Individual
DR. SUKHDEEP SINGH DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
19503 7TH AVE NE # 100, POULSBO, WA 98370-7529
(360) 779-2339
(360) 779-6475
Mailing address
2021 NW MYHRE RD, SUITE #210, SILVERDALE, WA 98383-8562
(360) 698-9335
(360) 698-9385
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60016824
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60027252
WA
Other
Enumeration date
11/27/2006
Last updated
01/05/2012
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