Individual
DR. RACHEL BLEVINS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-6444
Mailing address
3095 170TH ST E, ROSEMOUNT, MN 55068-2163
(651) 783-2845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14794
MN
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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