Individual
GABRIEL GLEN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
(575) 527-4746
Mailing address
2459 S 3RD STREET PLZ, OMAHA, NE 68108-1707
(575) 635-7576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4727
NM
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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