Organization
TRUJILLO, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL J TRUJILLO DDS (PRESIDENT)
(310) 966-0954
Entity
Organization
Contact information
Practice address
3061 COLLEGE GREEN DR, SUITE D, MERCED, CA 95348-3203
(209) 383-3816
Mailing address
3061 COLLEGE GREEN DR, SUITE D, MERCED, CA 95348-3203
(209) 383-3816
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
58761
CA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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