Provider Demographics
NPI:1932965795
Name:VAGHANI, PINAL
Entity type:Individual
Prefix:DR
First Name:PINAL
Middle Name:
Last Name:VAGHANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 DORCHESTER DR APT H7
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-1441
Mailing Address - Country:US
Mailing Address - Phone:630-945-6895
Mailing Address - Fax:
Practice Address - Street 1:226 DORCHESTER DR APT H7
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08512-1441
Practice Address - Country:US
Practice Address - Phone:630-945-6895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02989100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist