Portillo, Viviana

Portillo, Viviana is an sole proprietor health care provider with primary practice located at 370 Grand Ave Ste 200 , Englewood NJ 07631-4109. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Portillo, Viviana can be contacted via phone (201) 871-3555.

Contact Information

Primary practice address
370 Grand Ave Ste 200 Englewood NJ 07631-4109
Phone: (201) 871-3555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DN27232 Florida

Profile Details

NPI number 1164152591
LBN Legal business name Portillo, Viviana
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2022
Last updated Jul 21st, 2022 - about 4 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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