Organization
TRAHAN PEDIATRIC DENTAL GROUP
Active
Other names
Goodland Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE TRAHAN DMD (CEO)
(805) 456-2866
Entity
Organization
Contact information
Practice address
1111 E OCEAN AVE STE 4B, LOMPOC, CA 93436-2500
(805) 456-2866
(805) 456-0350
Mailing address
1111 E OCEAN AVE STE 4B, LOMPOC, CA 93436-2500
(805) 456-2866
(805) 456-0350
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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