Individual
EZLEN RONALD TRUJILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2050 BOTULPH RD., SUITE C, SANTA FE, NM 87505
(505) 983-7848
(505) 983-6449
Mailing address
2050 BOTULPH RD., SUITE C, SANTA FE, NM 87505
(505) 983-7848
(505) 983-6449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1821
NM
Other
Enumeration date
07/14/2006
Last updated
03/28/2019
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