Individual
DR. CARL V. PRIMAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1588 SOQUEL DR, SANTA CRUZ, CA 95065-1714
(831) 465-1588
Mailing address
1588 SOQUEL DR, SANTA CRUZ, CA 95065-1714
(831) 465-1588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45958
CA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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