| 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 |