IndividualActive
Fatima Tiwana, BDS
NPI 1124458609 · Periodontics · Lake Elmo, MN
Provider details
- NPI number
- 1124458609
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- BDS
- Sex
- Female
- Sole proprietor
- No
- License
- 2901020871 (MI)
Practice location
8515 Eagle Point Blvd Ste 200
Lake Elmo, MN 55042-8624
Phone: (651) 523-9950
Mailing address
8515 Eagle Point Blvd Ste 200
Lake Elmo, MN 55042-8624
Registry dates
- Enumerated
- 2013-11-19
- Last updated
- 2021-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.