Organization
DAVID N. TRUJILLO, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID N. TRUJILLO DDS (OWNER)
(719) 384-8703
Entity
Organization
Contact information
Practice address
317 W 3RD ST, SUITE 101, LA JUNTA, CO 81050-1401
(719) 384-8703
(719) 384-2398
Mailing address
317 W 3RD ST, SUITE 101, LA JUNTA, CO 81050-1401
(719) 384-8703
(719) 384-2398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
584
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008603
—
CO
Enumeration date
04/12/2007
Last updated
08/22/2020
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