Provider Demographics
NPI:1255947180
Name:AJAIPAL DHANOA PLLC
Entity type:Organization
Organization Name:AJAIPAL DHANOA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AJAIPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DHANOA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-943-5420
Mailing Address - Street 1:6015 CAPITOL BLVD SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-5268
Mailing Address - Country:US
Mailing Address - Phone:360-943-5420
Mailing Address - Fax:
Practice Address - Street 1:6015 CAPITOL BLVD SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-5268
Practice Address - Country:US
Practice Address - Phone:360-943-5420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental