Provider Demographics
NPI:1467159251
Name:OC DENTAL CARE BY DHALIWAL PC
Entity Type:Organization
Organization Name:OC DENTAL CARE BY DHALIWAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHBIR
Authorized Official - Middle Name:
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-250-0100
Mailing Address - Street 1:14203 COASTAL HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21842-7414
Mailing Address - Country:US
Mailing Address - Phone:410-250-0100
Mailing Address - Fax:
Practice Address - Street 1:14203 COASTAL HWY STE 1
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-7414
Practice Address - Country:US
Practice Address - Phone:410-250-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty