| David N. Trujillo, Dds, Pc | |
|
317 W 3rd St Suite 101 La Junta CO 81050-1401 | |
| (719) 384-8703 | |
| (719) 384-2398 |
| Full Name | David N. Trujillo, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 317 W 3rd St, La Junta, Colorado |
| Authorized Official Name and Position | David N. Trujillo (OWNER) |
| Authorized Official Contact | 7193848703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David N. Trujillo, Dds, Pc 317 W 3rd St Suite 101 La Junta CO 81050-1401 Ph: (719) 384-8703 | David N. Trujillo, Dds, Pc 317 W 3rd St Suite 101 La Junta CO 81050-1401 Ph: (719) 384-8703 |
| NPI Number | 1003030933 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003030933 | NPI | - | NPPES |
| 04008603 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 584 (Colorado) | Primary |
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