Individual
MARK L TRULSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
903 S KINGSHIGHWAY ST, SIKESTON, MO 63801-4415
(573) 471-4167
(573) 471-4212
Mailing address
311 MAIN ST, NEW MADRID, MO 63869-1942
(573) 748-2404
(573) 748-5443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014046
MO
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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