Provider Demographics
NPI:1932411022
Name:TRUJILLO, AIMEE KATHARINE BELIER (DDS)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:KATHARINE BELIER
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24611 SHADOWFAX DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-3622
Mailing Address - Country:US
Mailing Address - Phone:949-207-3317
Mailing Address - Fax:949-449-8802
Practice Address - Street 1:22600C LAMBERT ST STE 901
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1607
Practice Address - Country:US
Practice Address - Phone:949-207-3317
Practice Address - Fax:949-449-8802
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA609651223G0001X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223G0001XDental ProvidersDentistGeneral Practice