# ILLUMINATE DENTAL STUDIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134034614
- **Authorized official:** ROHAIL RAHMAN DDS (OWNER)
- **Authorized official phone:** (214) 213-5156

## Contact information

- **Practice address:** 1821 COMMUNITY AVENUE, SUITE 202, MCKINNEY, TX 75071
- **Practice address phone:** (214) 213-5156
- **Mailing address:** 6237 FORTUNA LN, MCKINNEY, TX 75070-2775
- **Mailing address phone:** (214) 213-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026