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Organization
ERIC R. CLAUSSEN, D.M.D., P.A.
Active
Organization
ERIC R. CLAUSSEN, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RICHARD CLAUSSEN D.M.D. (PRESIDENT)
(407) 408-4880
Entity
Organization
Contact information
Practice address
2624 JENKS AVE, PANAMA CITY, FL 32405-4311
(850) 215-0798
Mailing address
2624 JENKS AVE, PANAMA CITY, FL 32405-4311
(850) 215-0798
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D17080
FL
Other
Enumeration date
11/17/2010
Last updated
06/29/2012
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