Individual
DR. TATE AUSTIN TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
780 S 2000 W STE F2, SYRACUSE, UT 84075-9609
(801) 217-3359
Mailing address
1370 S 4300 W, SYRACUSE, UT 84075-7159
(801) 707-5937
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12210717-9924
UT
Other
Enumeration date
03/22/2019
Last updated
09/14/2021
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