# GULTAJ GREWAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225099849
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS036180 | PA | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 06/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1011126770001 | — | PA |
| 05 | — | 1011126770002 | — | PA |
| 05 | — | 1011126770003 | — | PA |
| 05 | — | 1011126770004 | — | PA |
| 05 | — | 1011126770005 | — | PA |
| 05 | — | 1011126770007 | — | PA |
| 05 | — | 1011126770008 | — | PA |
| 05 | — | 1011126770009 | — | PA |
| 05 | — | 1011126770010 | — | PA |
| 05 | — | 1011126770011 | — | PA |
| 05 | — | 1011126770012 | — | PA |
| 05 | — | 1011126770013 | — | PA |
| 05 | — | 1011126770014 | — | PA |