Individual
DR. ERVIN TRILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1200 GAIL GARDNER WAY, PRESCOTT, AZ 86305-3430
(282) 274-3059
Mailing address
6329 HARVEST MOON AVE, PRESCOTT, AZ 86305-6119
(626) 485-9365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011599
AZ
1223G0001X
General Practice Dentistry
34910
CA
Other
Enumeration date
07/30/2006
Last updated
10/24/2022
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