Individual
MR. KENNETH CHARLES TROUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095
(310) 825-5619
(310) 825-8728
Mailing address
PO BOX 951668, LOS ANGELES, CA 90095
(310) 206-5118
(310) 825-8728
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51747
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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