Individual
DR. JULIE E CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372-9077
(952) 496-6150
(952) 233-4224
Mailing address
4454 CHICAGO AVE, MINNEAPOLIS, MN 55407-3522
(952) 496-6150
(952) 233-4224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12131
MN
Other
Enumeration date
07/19/2006
Last updated
07/11/2016
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