Broadway-Firmage, Vivian Marie
Broadway-Firmage, Vivian Marie is an individual health care provider with primary practice located at 141 Camino Alto Suite 2, Mill Valley CA 94941-2246. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Broadway-Firmage, Vivian Marie can be contacted via phone (415) 388-6025.Contact Information
Primary practice address
141 Camino Alto Suite 2
Mill Valley CA 94941-2246
Phone: (415) 388-6025
Fax: (415) 388-1431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 42033 | California |
Profile Details
| NPI number | 1114911617 |
|---|---|
| LBN Legal business name | Broadway-Firmage, Vivian Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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