DR. Brian David Haeussner, D.M.D.
NPI #1295968832 in Orange Park, Florida
Provider Information
- NPI Number
- 1295968832
- Entity Type
- Individual
- Name
- DR. Brian David Haeussner, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 31, 2009
- Last Updated
- Jun 21, 2010
Practice Location
- Address
- 1409 KINGSLEY AVE
- Address 2
- #11
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4562
- Phone
- (904) 264-2483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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