John Edward 'jet' Trahan II D.D.S., M.S.D.

NPI 1629386032 - Dentist - 1223X0400X

NPI Details
NPI 1629386032
Gender Male
Enumeration Date 09/20/2010
Last Updated 09/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4600 LAKE ST
LAKE CHARLES LA, 70605-5416, US
Phone (337) 474-0240
Fax
Business Location
PO BOX 12599
LAKE CHARLES LA, 70612-2599, US
Phone (337) 263-4762
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Louisiana
License Number 5907
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According to our database, Dr. John Edward 'jet' Trahan II D.D.S., M.S.D. NPI is 1629386032, taxonomy code is 1223X0400X and license number is 5907, license state is located at Louisiana. John Edward 'jet' Trahan II D.D.S., M.S.D. physically located at 4600 Lake St, Lake Charles LA, 70605-5416. NPI Number John Edward 'jet' Trahan II D.D.S., M.S.D. has the Individual type.

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1629386032 NPI number is provided on an as is basis without warranty of any kind. 1629386032 is maintained by the National Plan & Provider Enumeration System. The contents of John Edward 'jet' Trahan II D.D.S., M.S.D. are for informational purposes only.