Individual
DAVID G TRAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8407 MAURICE AVENUE, MAURICE, LA 70555
(337) 893-2207
Mailing address
PO BOX 339, MAURICE, LA 70555-0339
(337) 898-1449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4124
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841242
—
LA
Enumeration date
09/06/2006
Last updated
07/08/2007
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