Lori R Trost Dmd PC

NPI #1710055983 in Red Bud, Illinois

Provider Information

NPI Number: 1710055983
Entity Type: Organization
Organization Name: Lori R Trost Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 4, 2006
Last Updated: Aug 26, 2019

Practice Location

Address: 210 S MAIN ST
City: Red Bud
State: Illinois
ZIP Code: 62278-1106
Phone: (618) 282-8282

Authorized Official

Name: LORI R TROST, DMD
Title: DENTIST OWNER
Phone: (618) 282-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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