Individual
DR. WILLIAM R TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.D
Contact information
Practice address
525 TYLER RD, SUITE E, ST CHARLES, IL 60174-3305
(630) 377-4677
Mailing address
121 N CROSS ST, APT 642, WHEATON, IL 60187-5323
(802) 338-2061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030154
IL
1223P0700X
Prosthodontics
Primary
021.002698
IL
Other
Enumeration date
07/16/2012
Last updated
01/23/2017
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