Individual
JASONPREET DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 369-6726
Mailing address
2217 SMITHERS AVE S, RENTON, WA 98055-4208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61189494
WA
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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