Kelly M Trout Dmd Pllc
NPI #1538506282 in Columbus, Mississippi
Provider Information
- NPI Number
- 1538506282
- Entity Type
- Organization
- Organization Name
- Kelly M Trout Dmd Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 3, 2013
- Last Updated
- Jun 3, 2013
Practice Location
- Address
- 2228 MILITARY RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-2456
- Phone
- (662) 328-0044
Authorized Official
- Name
- KELLY M TROUT, DMD
- Title
- OWNER
- Phone
- (662) 549-1545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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