Van Etta, Carson

Van Etta, Carson is an individual health care provider with primary practice located at 18511 Highlander Medics St , Fort Bliss TX 79918. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Van Etta, Carson can be contacted via phone (337) 531-2603.

Contact Information

Primary practice address
18511 Highlander Medics St Fort Bliss TX 79918
Phone: (337) 531-2603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 37875 Texas

Profile Details

NPI number 1154085470
LBN Legal business name Van Etta, Carson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2021
Last updated Oct 22nd, 2021 - about 3 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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