| NPI | 1740444512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GEORGE TRAHAN President 337-893-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5903) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |