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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