Organization
DHALIWAL, DDS, PLLC
Active
Other names
Complete Dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANPREET DHALIWAL DDS (OWNER)
(253) 854-2714
Entity
Organization
Contact information
Practice address
10725 SE 256TH ST STE 1, KENT, WA 98030-8285
(253) 854-2714
Mailing address
10725 SE 256TH ST STE 1, KENT, WA 98030-8285
(253) 854-2714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60243483
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024505
—
WA
Enumeration date
07/25/2016
Last updated
07/25/2016
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