Individual
DR. ROBERT MICHAEL TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6503 MAIN ST, GRANDVIEW, MO 64030
(816) 763-3368
(816) 763-1153
Mailing address
6503 MAIN ST, GRANDVIEW, MO 64030
(816) 763-3368
(816) 763-1153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14777
MO
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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