Organization
TRAHAN PEDIATRIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LISE TRAHAN DMD, MPH, MA (CEO)
(805) 403-6226
Entity
Organization
Contact information
Practice address
122 S PATTERSON AVE # C-133, SANTA BARBARA, CA 93111-2055
(805) 456-2866
Mailing address
122 S PATTERSON AVE # C-133, SANTA BARBARA, CA 93111-2055
(805) 456-2866
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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