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Individual

DR. JOHN EDWARD 'JET' TRAHAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.D.

Contact information

Practice address
139 GLORIA DR, LAKE CHARLES, LA 70611-5043
(337) 405-0371
(337) 905-8998
Mailing address
139 GLORIA DR, LAKE CHARLES, LA 70611-5043
(337) 405-0371
(337) 905-8998

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5907
LA

Other

Enumeration date
09/20/2010
Last updated
12/07/2023
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