MEDICARE: OC DENTAL CARE BY DHALIWAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1467159251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OC DENTAL CARE BY DHALIWAL PC

Provider Business Mailing Address
First Line	:	14203 COASTAL HWY STE 1
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-7414
Country	:	US
Telephone Number	:	410-250-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	14203 COASTAL HWY STE 1
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-7414
Country	:	US
Telephone Number	:	410-250-0100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUKHBIR DHALIWAL
Credential	:
Telephone Number	:	410-250-0100

Provider Enumeration Date	:	02/13/2023
Last Update Date	:	02/13/2023

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