Organization
THE GREENAWALT DHALIWAL LLP
Active
Parent organization
THE GREENAWALT DHALIWAL LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GREENAWALT DHALIWAL LLP
Authorized official
DR. PAUL GREENAWALT DDS (PARTNER/OWNER/ORAL SURGEON)
(360) 698-9335
Entity
Organization
Contact information
Practice address
450 S KITSAP BLVD., STE 220, PORT PRCHARD, WA 98366
(360) 447-5100
Mailing address
PO BOX 3770, SILVERDALE, WA 98383
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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