Individual
DR. DAVID RALPH TROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
134 MCKINLEY ST, EAST PEORIA, IL 61611-2550
(309) 699-6770
(309) 699-6771
Mailing address
134 MCKINLEY ST, EAST PEORIA, IL 61611-2550
(309) 699-6770
(309) 699-6771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-016607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019-016607
—
IL
Enumeration date
01/23/2007
Last updated
07/09/2007
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