Organization
R TAR DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TAR DDS (DENTIST)
(313) 381-0200
Entity
Organization
Contact information
Practice address
8985 TELEGRAPH RD, TAYLOR, MI 48180-2366
(313) 381-0200
Mailing address
8985 TELEGRAPH RD, TAYLOR, MI 48180-2366
(313) 381-0200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11637
DENTAL LICENSE
MI
Enumeration date
03/16/2022
Last updated
03/16/2022
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