CARL E PRIMAVERA

SANTA CRUZ, CA
NPI1053512327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  21050)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
-- CARL E PRIMAVERA DDS
1588 SOQUEL DR
SANTA CRUZ, CA 95065-1714
Phone number: 831-476-4020
Mailing Address
-- CARL E PRIMAVERA DDS
1588 SOQUEL DR
SANTA CRUZ, CA 95065-1714
Phone number: 831-476-4020
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