Organization
ILLUMINATE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANSHU MEHROTRA DDS (OWNER)
(201) 736-1647
Entity
Organization
Contact information
Practice address
2021 K ST NW STE 820, WASHINGTON, DC 20006-1003
(202) 545-7774
Mailing address
9359 BRAYMORE CIR, FAIRFAX STATION, VA 22039-3129
(201) 736-1647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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