Jasonpreet Dhaliwal, OD
Optometrist in Issaquah, WA. Individual provider (NPI-1).
NPI number1972176006
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1972176006
- Entity type
- Individual (NPI-1)
- Name
- Jasonpreet Dhaliwal
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2021
- Certification date
- May 18, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD61189494 | WA | Yes |
Practice location
1801 10th Ave NwIssaquah, WA 98027-5384
Phone 425-369-6726
Mailing address
2217 Smithers Ave SRenton, WA 98055-4208
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All 36 Optometrist providers in Issaquah · All 2,127 providers in Issaquah
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