Organization
JOHN TRAHAN II APDC
Active
Organization
JOHN TRAHAN II APDC
Active
Other names
Smile Design Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD 'JET' TRAHAN II D.D.S., M.S.D. (OWNER/DOCTOR)
(337) 263-4762
Entity
Organization
Contact information
Practice address
139 GLORIA DR., LAKE CHARLES, LA 70611
(337) 263-4762
Mailing address
PO BOX 12599, LAKE CHARLES, LA 70612-2599
(337) 263-4762
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5907
LA
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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