Vivian Marie Broadway-firmage DDS

NPI 1114911617 - Dentist - 1223G0001X

NPI Details
NPI 1114911617
Gender Female
Enumeration Date 09/12/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
141 CAMINO ALTO
SUITE 2
MILL VALLEY CA, 94941-2246, US
Phone (415) 388-6025
Fax (415) 388-1431
Business Location
141 CAMINO ALTO
SUITE 2
MILL VALLEY CA, 94941-2246, US
Phone (415) 388-6025
Fax (415) 388-1431
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 42033
Remove 1114911617 NPI Number
 

According to our database, Dr. Vivian Marie Broadway-firmage DDS NPI is 1114911617, taxonomy code is 1223G0001X and license number is 42033, license state is located at California. Vivian Marie Broadway-firmage DDS physically located at 141 Camino Alto, Mill Valley CA, 94941-2246. NPI Number Vivian Marie Broadway-firmage DDS has the Individual type.

Sponsored links

1114911617 NPI number is provided on an as is basis without warranty of any kind. 1114911617 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Marie Broadway-firmage DDS are for informational purposes only.