Individual
DR. ELISE MORGAN TRAHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
814 PIERREMONT RD, SHREVEPORT, LA 71106-2034
(318) 865-8478
Mailing address
814 PIERREMONT RD, SHREVEPORT, LA 71106-2034
(318) 865-8478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6323
LA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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