Organization
LORI R TROST DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI R TROST DMD (DENTIST OWNER)
(618) 282-8282
Entity
Organization
Contact information
Practice address
210 S MAIN ST, RED BUD, IL 62278-1106
(618) 282-8282
Mailing address
210 S MAIN ST, RED BUD, IL 62278-1106
(618) 282-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021423
IL
Other
Enumeration date
12/04/2006
Last updated
08/26/2019
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