Clark, Vivian L

Clark, Vivian L is an individual health care provider with primary practice located at Bdc North Island Box 357037, San Diego CA 92135-7037. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Vivian L can be contacted via phone (619) 545-6398.

Contact Information

Primary practice address
Bdc North Island Box 357037 San Diego CA 92135-7037
Phone: (619) 545-6398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 9175 California

Profile Details

NPI number 1134194582
LBN Legal business name Clark, Vivian L
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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