Dale M Trahan Dds Llc

NPI 1043393697 - Dentist - 122300000X

NPI Details
NPI 1043393697
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHERELLE R CHERELLE
Position OFFICE MANAGER
Phone (337) 981-6882
Fax (337) 991-0542
Practice Location
102 GENEVIEVE DR
LAFAYETTE LA, 70503, US
Phone (337) 981-6882
Fax (337) 991-0542
Business Location
102 GENEVIEVE DR
LAFAYETTE LA, 70503, US
Phone (337) 981-6882
Fax (337) 991-0542
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 3209
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According to our database, Dale M Trahan Dds Llc NPI is 1043393697, taxonomy code is 122300000X and license number is 3209, license state is located at Louisiana. Dale M Trahan Dds Llc physically located at 102 Genevieve Dr, Lafayette LA, 70503. NPI Number 1033115704 has the healthcare provider type.

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1043393697 NPI number is provided on an as is basis without warranty of any kind. 1043393697 is maintained by the National Plan & Provider Enumeration System. The contents of Dale M Trahan Dds Llc are for informational purposes only.