Illuminate Family Dentistry, LLC
NPI #1316691736 in Derby, Kansas
Provider Information
- NPI Number
- 1316691736
- Entity Type
- Organization
- Organization Name
- Illuminate Family Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 4, 2022
- Last Updated
- Feb 4, 2022
Practice Location
Authorized Official
- Name
- DR. RACHEL HAYES CLARK, DDS
- Title
- OWNER DENTIST
- Phone
- (316) 847-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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