Organization
DAVID R TROST DDS PC
Active
Other names
Miles of Smiles, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RALPH TROST DDS (PRESIDENT)
(309) 382-6404
Entity
Organization
Contact information
Practice address
137 RADIO CITY DR STE F, NORTH PEKIN, IL 61554-1570
(309) 382-6404
(309) 382-6405
Mailing address
137 RADIO CITY DR STE F, NORTH PEKIN, IL 61554-1570
(309) 382-6404
(309) 382-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016607
IL
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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