Individual
GINNETH TRUJILLO MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4275 CITY CENTRE DR UNIT 400, FIRESTONE, CO 80504-6678
(720) 845-6636
Mailing address
4275 CITY CENTRE DR UNIT 400, FIRESTONE, CO 80504-6678
(720) 845-6636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205602
CO
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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