MEDICARE: DR. VIMAL SAIGAL D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	RES.3356	OH

General Provider Information

NPI Number	:	1952731630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIMAL SAIGAL D.D.S.

Provider Business Mailing Address
First Line	:	3611 SHOREVIEW CT
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1257
Country	:	US
Telephone Number	:	248-961-3342
Fax Number	:

Provider Business Practice Location Address
First Line	:	3611 SHOREVIEW CT
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1257
Country	:	US
Telephone Number	:	248-961-3342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2013
Last Update Date	:	11/18/2013

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