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Organization
KENDAL TRUJILLO DDS PC
Active
Organization
KENDAL TRUJILLO DDS PC
Active
Other names
Summit Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
456 MECHEM DR STE C, RUIDOSO, NM 88345-6873
(575) 257-5179
Mailing address
456 MECHEM DR STE C, RUIDOSO, NM 88345-6873
(575) 257-5179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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