# CLINT E RAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477639334
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8109 | OR | — |
| 1223P0221X | Pediatric Dentistry | 6205-15 | WI | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 11/09/2020
