Individual
DR. TIMOTHY JOHN CLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S,
Contact information
Practice address
825 NICOLLET MALL, SUITE 609, MINNEAPOLIS, MN 55402-2606
(612) 332-5122
(612) 332-7712
Mailing address
825 NICOLLET MALL, SUITE 609, MINNEAPOLIS, MN 55402-2606
(612) 332-5122
(612) 332-7712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10647
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10647
STATE ID
MN
Enumeration date
11/14/2006
Last updated
07/08/2007
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