Individual
DR. BLAINE T CLAUSNITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1110 COLLEGE DR, STE 108, BISMARCK, ND 58501
(701) 255-0586
(701) 255-2186
Mailing address
1110 COLLEGE DR, STE 108, BISMARCK, ND 58501
(701) 255-0586
(701) 255-2186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
901804
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41313
—
ND
Enumeration date
08/08/2006
Last updated
07/08/2007
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