person
Carl E Primavera, DDS
Periodontist in Santa Cruz, California
NPI 1053512327

Carl E Primavera is a Periodontist based in Santa Cruz, CA and is specialized in Periodontics. Carl E Primavera practices in Santa Cruz, CA and has the professional credentials of DDS. The NPI Number for Carl E Primavera is 1053512327 and holds a License No. 21050 (California).

The current practice location address for Carl E Primavera is 1588 Soquel Dr, Santa Cruz, CA and can be reached out via phone at 831-476-4020.

Location: 1588 Soquel Dr, Santa Cruz, CA, 95065-1714
person
Provider Profile Details
NPI Number
1053512327
Provider Name
Carl E Primavera
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1588 Soquel Dr, Santa Cruz, CA, 95065-1714
Phone Number
831-476-4020
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21629043 01 CA EDD ACCOUNT NUMBER
institution
Provider Business Practice Location Address Details
Address
1588 Soquel Dr
City
State
Zip
95065-1714
Phone Number
831-476-4020
Fax Number
person
Provider Business Mailing Address Details
Address
1588 Soquel Dr
City
State
Zip
95065-1714
Phone Number
831-476-4020
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
21050 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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