Individual
DR. ERIC RICHARD CLAUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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)
DN17080
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN17080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003224200
—
FL
Enumeration date
05/29/2008
Last updated
08/05/2015
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