Organization
KELLY M TROUT DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M TROUT DMD (OWNER)
(662) 549-1545
Entity
Organization
Contact information
Practice address
2228 MILITARY RD, COLUMBUS, MS 39705-2456
(662) 328-0044
Mailing address
2228 MILITARY RD, COLUMBUS, MS 39705-2456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3410-07
MS
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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