| David R Trost Dds Pc | |
|
137 Radio City Dr Ste F North Pekin IL 61554-1570 | |
| (309) 382-6404 | |
| (309) 382-6405 |
| Full Name | David R Trost Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 137 Radio City Dr Ste F, North Pekin, Illinois |
| Authorized Official Name and Position | David Ralph Trost (PRESIDENT) |
| Authorized Official Contact | 3093826404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Trost Dds Pc 137 Radio City Dr Ste F North Pekin IL 61554-1570 Ph: (309) 382-6404 | David R Trost Dds Pc 137 Radio City Dr Ste F North Pekin IL 61554-1570 Ph: (309) 382-6404 |
| NPI Number | 1750553327 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750553327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016607 (Illinois) | Primary |