ILLUMINATE FAMILY DENTISTRY, LLC

DERBY, KS
NPI1316691736
Entity TypeOrganization
Authorized ContactRACHEL HAYES CLARK
Owner Dentist
316-847-7730
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2022-02-04
Last Update Date2022-02-04
Business Address
ILLUMINATE FAMILY DENTISTRY, LLC
250 W RED POWELL DR STE 500
DERBY, KS 67037-2626
Phone number: 316-847-7730
Mailing Address
ILLUMINATE FAMILY DENTISTRY, LLC
2113 N WOODARD ST
DERBY, KS 67037-2364
Phone number:
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