NPI | 1235976994 |
---|---|
Former Legal Business Name | ERIC R. CLAUSSEN, DMD, PA |
Entity Type | Organization |
Authorized Contact | ERIC R. CLAUSSEN Partner 407-408-4880 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-07-10 |