Individual
DR. TINA N PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
795 INMAN AVE, COLONIA, NJ 07067-1433
(732) 499-8220
Mailing address
27 WILZETTE DR, MIDDLETOWN, NJ 07748-3351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02360700
NJ
Other
Enumeration date
07/12/2007
Last updated
10/01/2008
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