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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARL E PRIMAVERA, DDS

Active Sole Proprietor

CARL E PRIMAVERA, DDS is a Periodontology healthcare provider located in SANTA CRUZ, California. NPI 1053512327 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SANTA CRUZ, CA

Registration Details

NPI Number
1053512327
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2007 (19.173340769113 yrs)
Last Updated
Jul 8, 2007
License
21050 (CA)
Sole Proprietor
Yes

Practice Information

Address
1588 SOQUEL DR
SANTA CRUZ, CA, 950651714
Browse CA providers · Browse ZIP 95065
Phone
8314764020
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in SANTA CRUZ, CA

Name Credential NPI
RICHARD DEAN BROWNING D.D.S., M.S. 1942357603
DR. CYRUS KOUROSH MOZAYAN DMD, MDS 1316165848
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.