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Individual

CLINT E RAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
605 REED AVE, MANITOWOC, WI 54220-2026
(920) 652-1100
(920) 652-1200
Mailing address
PO BOX 560, DENMARK, WI 54208-0560
(920) 664-2424

Taxonomy

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

Other

Enumeration date
10/31/2006
Last updated
11/09/2020
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