Individual
DR. INDERJIT K DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 N LAKE SHORE DR APT 2415, CHICAGO, IL 60657-6248
(773) 967-8242
Mailing address
13929 SE 155TH PL, RENTON, WA 98058-7823
(773) 967-8242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61263611
WA
Other
Enumeration date
10/17/2018
Last updated
01/09/2024
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