KELLY MCIVER TROUT

COLUMBUS, MS
NPI1588743595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MS  3410-07)
Additional Taxonomies122300000X Dentist
(Licence: AL  5084)
Enumeration Date2006-11-02
Last Update Date2013-04-15
Business Address
Mrs. KELLY MCIVER TROUT DMD
2228 MILITARY RD
COLUMBUS, MS 39705-2456
Phone number: 662-328-0044
Mailing Address
Mrs. KELLY MCIVER TROUT DMD
2228 MILITARY RD
COLUMBUS, MS 39705-2456
Phone number: 662-328-0044
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