Provider Demographics
NPI:1568270213
Name:NAVDEEP DHALIWAL AND MANPREET DHALIWAL DDS PLLC
Entity type:Organization
Organization Name:NAVDEEP DHALIWAL AND MANPREET DHALIWAL DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:REIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-375-8926
Mailing Address - Street 1:1006 FRYAR AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1501
Mailing Address - Country:US
Mailing Address - Phone:253-299-9211
Mailing Address - Fax:
Practice Address - Street 1:1006 FRYAR AVE STE A
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1501
Practice Address - Country:US
Practice Address - Phone:253-299-9211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty