Provider Demographics
NPI:1952731630
Name:SAIGAL, VIMAL (DDS)
Entity type:Individual
Prefix:DR
First Name:VIMAL
Middle Name:
Last Name:SAIGAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 SHOREVIEW CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1257
Mailing Address - Country:US
Mailing Address - Phone:248-961-3342
Mailing Address - Fax:
Practice Address - Street 1:3611 SHOREVIEW CT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1257
Practice Address - Country:US
Practice Address - Phone:248-961-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.3356122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist