Individual
EDMUND L TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Mailing address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1262
NM
Other
Enumeration date
09/13/2005
Last updated
10/05/2023
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