Provider Demographics
NPI:1750484366
Name:CAJULIS, TRILLA RODESILLAS (DDS)
Entity Type:Individual
Prefix:MRS
First Name:TRILLA
Middle Name:RODESILLAS
Last Name:CAJULIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2488 CROOKED TRAIL ROAD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914
Mailing Address - Country:US
Mailing Address - Phone:619-271-2570
Mailing Address - Fax:
Practice Address - Street 1:890 EAST LAKE PARKWAY
Practice Address - Street 2:STE 206
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914
Practice Address - Country:US
Practice Address - Phone:619-946-7477
Practice Address - Fax:619-397-0314
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist