Organization
THE GREENAWALT DHALIWAL LLP
Active
Other names
Kitsap OMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B GREENAWAIT DDS (PARTNER)
(360) 698-9335
Entity
Organization
Contact information
Practice address
19503 7TH AVE NE, POULSBO, WA 98370
(360) 779-2339
(360) 779-6475
Mailing address
PO BOX 3770, SILVERDALE, WA 98383
(360) 698-9335
(360) 698-9385
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8080
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115138600
MEDICARE ID#
WA
Enumeration date
06/07/2007
Last updated
02/13/2017
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