Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 0401005790 | VA |
NPI | 1013058767 |
---|---|
Provider Name | Dr. Claire C Kaugars |
First Address | Richmond, VA 23226-1828 |
Second Address | Richmond, VA 23226-1828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/07/2007 |