Individual
DR. DAVID NATHANIEL TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
—
02005841
—
CO
Enumeration date
07/25/2006
Last updated
07/08/2007
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