THEODORE DANIEL HAEUSSNER

SAINT AUGUSTINE, FL
NPI1033270715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN16354)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
Dr. THEODORE DANIEL HAEUSSNER D.M.D.
4 SAINT JOHNS MEDICAL PK DR
SAINT AUGUSTINE, FL 32086-5298
Phone number: 904-797-9009
Mailing Address
Dr. THEODORE DANIEL HAEUSSNER D.M.D.
4 SAINT JOHNS MEDICAL PK DR
SAINT AUGUSTINE, FL 32086-5298
Phone number: 904-797-9009