ERIC R. CLAUSSEN, D.M.D., P.A.
Dentist at Jenks Ave, Panama City, FL

License number
Florida D17080
Category
Dentist
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. ERIC RICHARD CLAUSSEN D.M.D.
Title: PRESIDENT
Phone: (407) 408-4880
Address
Address
2624 Jenks Ave, Panama City, FL 32405
National Provider ID: 1790087138
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIC R. CLAUSSEN, D.M.D., PA

Panama City, FL  -  Orlando, FL

Industry:
Dentist's Office, Offices and Clinics of Dentists
Registration:
Jun 9, 2009
Addresses:
2624 Jenks Ave, Panama City, FL 32405 (Physical)
1751 Firehouse Ln, Orlando, FL 32814
4121 Corrine Dr, Orlando, FL 32814
State ID:
P09000050457
Business type:
Florida Profit Corporation
Director:
Eric Rdr Claussen (Director), 2624 Jenks Ave, Panama City, FL 32405 (Physical)
Agent:
Eric Claussen,2624 Jenks Ave, Panama City, FL 32405 (Physical)
EIN:
270340107

Dentist licenses in Florida