DR. Vivian Marie Broadway-Firmage, DDS
NPI #1114911617 in Mill Valley, California
Provider Information
- NPI Number
- 1114911617
- Entity Type
- Individual
- Name
- DR. Vivian Marie Broadway-Firmage, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 141 CAMINO ALTO
- Address 2
- SUITE 2
- City
- Mill Valley
- State
- California
- ZIP Code
- 94941-2246
- Phone
- (415) 388-6025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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