Individual
GURBIR PAUL TIWANA
Active
Individual
GURBIR PAUL TIWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D. M.D. M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8072
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
F-25350
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
38750
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200506200A
—
IN
05
—
60002995
—
KY
05
—
64084601
—
KY
Enumeration date
09/07/2006
Last updated
08/08/2019
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