Organization
HOMETOWN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN F TRAUTH IV DDS (OWNER)
(504) 201-5507
Entity
Organization
Contact information
Practice address
111 LAKEWOOD DR, LULING, LA 70070-3006
(985) 785-6838
Mailing address
111 LAKEWOOD DR, LULING, LA 70070-3006
(985) 785-6838
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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