Organization
DAVID R TROST DDS PC
Active
Parent organization
DAVID R TROST DDS PC D/B/A MILES OF SMILES, LTD
Other names
MILES OF SMILES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID R TROST DDS PC D/B/A MILES OF SMILES, LTD
Authorized official
DR. DAVID R TROST DDS (PRESIDENT)
(309) 382-6404
Entity
Organization
Contact information
Practice address
2604 LINCOLN TRL, TAYLORVILLE, IL 62568-9718
(039) 382-6404
(309) 382-6405
Mailing address
137 RADIO CITY DR, STE C, NORTH PEKIN, IL 61554-1570
(309) 382-6404
(309) 382-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.016607
IL
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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