Charles C. Clausen, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Avondale, AZ
- NPI
- 1164596250
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 3245 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Practice location
13055 W Mcdowell Rd, Suite G103
Avondale, AZ 85323-6449
(623) 848-0100