Individual
DR. BRIAN DAVID HAEUSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1409 KINGSLEY AVE, #11, ORANGE PARK, FL 32073-4562
(904) 264-2483
(904) 264-0474
Mailing address
1409 KINGSLEY AVE, #11, ORANGE PARK, FL 32073-4562
(904) 264-2483
(904) 264-0474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 18048
FL
Other
Enumeration date
08/31/2009
Last updated
06/21/2010
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