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1154085470
CARSON VAN ETTA
FORT BLISS, TX
NPI
1154085470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 37875)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
CARSON VAN ETTA DMD
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79918
Phone number: 337-531-2603
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Mailing Address
CARSON VAN ETTA DMD
14693 OLDENBERG CT
EL PASO, TX 79938-1013
Phone number: 904-335-7597
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