Individual
DR. JOHN B TAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1701 66TH ST N, ST PETERSBURG, FL 33710-5537
(727) 381-3535
(727) 381-3033
Mailing address
1701 66TH ST N, ST PETERSBURG, FL 33710-5537
(727) 381-3535
(727) 381-3033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0012800
FL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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