Individual
MARK P TROILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 E YEAGER, ROSE HILL, KS 67133
(316) 776-2144
(316) 776-2980
Mailing address
PO BOX 98, ROSE HILL, KS 67133
(316) 776-2144
(316) 776-2980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5474
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100097590B
HEALTHWAVE
KS
01
—
17359
BLUE CROSS BLUE SHIELD
KS
Enumeration date
08/30/2006
Last updated
07/08/2007
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