Primavera, Carl E

Primavera, Carl E is an sole proprietor health care provider with primary practice located at 1588 Soquel Dr , Santa Cruz CA 95065-1714. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Primavera, Carl E can be contacted via phone (831) 476-4020.

Contact Information

Primary practice address
1588 Soquel Dr Santa Cruz CA 95065-1714
Phone: (831) 476-4020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 21050 California

Profile Details

NPI number 1053512327
LBN Legal business name Primavera, Carl E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053512327 NPPES
California Other 21629043 EDD ACCOUNT NUMBER

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