# GURBIR PAUL TIWANA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821192212
- **Gender:** Man
- **Credential:** D.M.D. M.D. M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8072 | KY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | F-25350 | TX | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 38750 | KY | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/08/2019