Individual
DR. RACHEL HAYES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
Mailing address
2113 N WOODARD ST, DERBY, KS 67037-2364
(316) 207-7381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61349
KS
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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