Dr. Inderjit K Dhaliwal
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1871069773
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1871069773
- Entity type
- Individual (NPI-1)
- Name
- Dr. Inderjit K Dhaliwal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2018
- Certification date
- Jan 4, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE61263611 | WA | Yes |
Practice location
2800 N Lake Shore Dr Apt 2415Chicago, IL 60657-6248
Phone 773-967-8242
Mailing address
13929 Se 155th PlRenton, WA 98058-7823
Phone 773-967-8242
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