Healthcare Provider Details

I. General information

NPI: 1538849922
Provider Name (Legal Business Name): MS. HARJOT DHALIWAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date: 02/26/2024
Reactivation Date: 08/21/2026

III. Provider practice location address

3975 TRINDLE RD
CAMP HILL PA
17011-4247
US

IV. Provider business mailing address

3975 TRINDLE RD
CAMP HILL PA
17011-4247
US

V. Phone/Fax

Practice location:
  • Phone: 717-640-3713
  • Fax:
Mailing address:
  • Phone: 717-640-3713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS046014
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: