| Kendal Trujillo Dds Pc | |
|
456 Mechem Dr Ste C Ruidoso NM 88345-6873 | |
| (575) 257-5179 | |
| Not Available |
| Full Name | Kendal Trujillo Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 456 Mechem Dr Ste C, Ruidoso, New Mexico |
| Authorized Official Name and Position | Jenny Garcia-rocha (SR CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendal Trujillo Dds Pc 456 Mechem Dr Ste C Ruidoso NM 88345-6873 Ph: (575) 257-5179 | Kendal Trujillo Dds Pc 456 Mechem Dr Ste C Ruidoso NM 88345-6873 Ph: (575) 257-5179 |
| NPI Number | 1083431126 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083431126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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