DR. Albert Anthony Primavera JR., DMD
NPI #1609353606 in Indian Land, South Carolina
Provider Information
- NPI Number
- 1609353606
- Entity Type
- Individual
- Name
- DR. Albert Anthony Primavera JR., DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 23, 2018
- Last Updated
- Apr 21, 2022
Practice Location
- Address
- 2021 BRIDGEMILL DR STE 100
- City
- Indian Land
- State
- South Carolina
- ZIP Code
- 29707-9211
- Phone
- (803) 848-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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