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Organization

DRS TAGGART AND NIQUETTE P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LEE TAGGART DDS (OWNER)
(231) 924-5542
Entity
Organization

Contact information

Practice address
327 APACHE DRIVE, FREMONT, MI 49412
(231) 924-5542
(231) 924-5826
Mailing address
327 APACHE DRIVE, FREMONT, MI 49412
(231) 924-5542
(231) 924-5826

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D14151
MI
1223G0001X
General Practice Dentistry
Primary
D14452
MI

Other

Enumeration date
08/20/2006
Last updated
06/17/2008
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