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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