Provider Demographics
NPI:1043317860
Name:WALIA, TARANPREET (DDS)
Entity Type:Individual
Prefix:DR
First Name:TARANPREET
Middle Name:
Last Name:WALIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4610
Mailing Address - Country:US
Mailing Address - Phone:708-415-6302
Mailing Address - Fax:
Practice Address - Street 1:1329 N RAND RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-2922
Practice Address - Country:US
Practice Address - Phone:847-358-9800
Practice Address - Fax:847-358-9881
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0263701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice