Individual
BYRON TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4614
(520) 458-2415
Mailing address
4638 TRANQUILITY ST, SIERRA VISTA, AZ 85650-5338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009799
AZ
Other
Enumeration date
07/04/2017
Last updated
07/04/2017
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