Whalio Doctors

NPI 1033484514

Leigha Kaye Clark, RDH

Practitioner Dental Hygienist Sesser, IL

Practice location

Address
6294 State Highway 154, Sesser, IL 62884-2163
Phone
(618) 625-6679
Fax
(618) 625-5362
Mailing address
PO Box 155, Christopher, IL 62822-0155

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 020011274 (IL)

Registry record

NPI
1033484514
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Mar 2012
Record last updated
15 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.