Individual
DR. FATIMA A TIWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
8515 EAGLE POINT BLVD STE 200, LAKE ELMO, MN 55042-8624
(651) 523-9950
Mailing address
8515 EAGLE POINT BLVD STE 200, LAKE ELMO, MN 55042-8624
(651) 523-9950
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901020871
MI
Other
Enumeration date
11/19/2013
Last updated
05/10/2021
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