Graham, Vivian
Graham, Vivian is an sole proprietor health care provider with primary practice located at 377 Jersey Ave Suite 450, Jersey City NJ 07302-4393. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Graham, Vivian can be contacted via phone (201) 369-9080.Contact Information
Primary practice address
377 Jersey Ave Suite 450
Jersey City NJ 07302-4393
Phone: (201) 369-9080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 052417 | New York |
| Dental Providers / Dentist | 122300000X | 22DI02330600 | New Jersey |
Profile Details
| NPI number | 1184820490 |
|---|---|
| LBN Legal business name | Graham, Vivian |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2007 |
| Last updated | Apr 2nd, 2012 - about 12 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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