Organization
CHARLES CLAUSEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M WHITE (MANAGER)
(623) 848-0100
Entity
Organization
Contact information
Practice address
13055 W MCDOWELL, #G103, AVONDALE, AZ 85392
(623) 848-0100
(623) 848-3516
Mailing address
13055 W MCDOWELL, #G103, AVONDALE, AZ 85392
(623) 848-0100
(623) 848-3516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3245
AZ
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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