Organization
THE GREENAWALT DHALIWAL LLP
Active
Other names
Kitssap OMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B GREENAWALT DDS (PARTNER)
(360) 698-9335
Entity
Organization
Contact information
Practice address
2021 NW MYHRE RD, #210, SILVERDALE, WA 98383
(360) 698-9335
(360) 698-9385
Mailing address
P.O. BOX 3770, SILVERDALE, WA 98383
(360) 698-9335
(360) 698-9385
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6714
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6951
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8080
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE60016824
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE8080
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115138700
MEDICARE ID #
WA
Enumeration date
06/06/2007
Last updated
02/13/2017
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