Individual provider · NPI-1

Dr. Holden E Clauson, D.D.S.

Dentist, General Practice · New London, CT

NPI number1912302209
StatusActive
Last updated in NPPESNov 11, 2014

Details

NPI
1912302209
Entity type
Individual (NPI-1)
Name
Dr. Holden E Clauson
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 29, 2014
Last updated
Nov 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice11298CTYes
122300000X Dentist11298CT

Practice location

5 Shaws Cv
New London, CT 06320-4974

Phone 860-645-0111

Mailing address

5 Shaws Cv
New London, CT 06320-4974

Phone 860-645-0111

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