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Individual

CARL A TROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2538 UNIVERSITY DR S, SUITE A, FARGO, ND 58103-5714
(701) 232-1148
(701) 232-8907
Mailing address
2538 UNIVERSITY DR S, SUITE A, FARGO, ND 58103-5714
(701) 232-1148
(701) 232-8907

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2168
ND
1223P0221X
Pediatric Dentistry
6734
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40116
ND
Enumeration date
11/01/2007
Last updated
07/10/2013
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