Individual
DAVID LEE TAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
850 E GRAND AVE, SUITE A, ESCONDIDO, CA 92025-3435
(760) 741-4061
(760) 432-8764
Mailing address
850 E GRAND AVE, SUITE A, ESCONDIDO, CA 92025-3435
(760) 741-4061
(760) 432-8764
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
026543
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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