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Individual

DR. TATIANA TROTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
MEADOWLARK FAMILY DENTISTRY, 306 VINE ST, KELSO, WA 98626
(360) 577-3625
(360) 638-3051
Mailing address
306 VINE ST, KELSO, WA 98626
(360) 577-3625
(360) 538-3051

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
58977
CA
122300000X
Dentist
Primary
DE60135332
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2006950
WA
Enumeration date
01/04/2010
Last updated
10/11/2022
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