Individual
DR. DALE GLEN CLAUSSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
620 SAINT LOUIS ST, EDWARDSVILLE, IL 62025-1504
(618) 656-0201
Mailing address
620 SAINT LOUIS ST, EDWARDSVILLE, IL 62025-1504
(618) 656-0201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19 15844
IL
Other
Enumeration date
05/30/2005
Last updated
07/08/2007
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