Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN15282 | FL |
NPI | 1255390076 |
---|---|
Provider Name | Dr. Janet Declet-Claudio |
First Address | Clearwater, FL 33755-4431 |
Second Address | Clearwater, FL 33755-4431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 08/07/2007 |