TATE AUSTIN TRUJILLO

SYRACUSE, UT
NPI1255891511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: UT  12210717-9924)
Enumeration Date2019-03-22
Last Update Date2021-09-14
Business Address
Dr. TATE AUSTIN TRUJILLO DDS
780 S 2000 W STE F2
SYRACUSE, UT 84075-9609
Phone number: 801-217-3359
Mailing Address
Dr. TATE AUSTIN TRUJILLO DDS
1370 S 4300 W
SYRACUSE, UT 84075-7159
Phone number: 801-707-5937