Individual
CHRISTIANE MARIE TRIGUEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 605-4085
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 605-4085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8025980-8903
UT
122300000X
Dentist
Primary
8025980-9921
UT
Other
Enumeration date
10/05/2011
Last updated
12/04/2020
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