Provider Demographics
NPI:1801415286
Name:DHALIWAL, APRINDERPAL SINGH (DMD)
Entity type:Individual
Prefix:DR
First Name:APRINDERPAL
Middle Name:SINGH
Last Name:DHALIWAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4602 45TH AVE NE APT 286
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-2097
Mailing Address - Country:US
Mailing Address - Phone:206-331-7177
Mailing Address - Fax:
Practice Address - Street 1:1030 OUTLET COLLECTION WAY SW
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-6537
Practice Address - Country:US
Practice Address - Phone:253-333-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610737971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice