Individual
UPKAR DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12417 SE 265TH CT, KENT, WA 98030-8672
(253) 275-8529
Mailing address
12417 SE 265TH CT, KENT, WA 98030-8672
(253) 275-8529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61181786
WA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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