Individual provider · Type 1 NPI
Clint E. Rau, DDS
Pediatric Dentistry · Manitowoc, WI
NPI number
1477639334
Active
Practice location
605 Reed Ave
Manitowoc, WI 54220-2026
Fax (920) 652-1200
Mailing address
PO Box 560
Denmark, WI 54208-0560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 8109 (OR) |
| Pediatric Dentistry Primary | 1223P0221X | 6205-15 (WI) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1477639334
Clint E. Rau, DDS's National Provider Identifier is 1477639334, issued on Oct 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Manitowoc, WI. The record was last updated on Nov 9, 2020.