Individual
DR. LEE ANTHONY TAITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
403 E KEMPER RD, SPRINGDALE, OH 45246-3228
(513) 729-7245
(513) 808-9656
Mailing address
1439 OAKWOOD AVE, NAPOLEON, OH 43545-1066
(920) 585-8760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901017085
MI
1223E0200X
Endodontics
Primary
09061
IA
1223E0200X
Endodontics
30.021961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740339860
ENDODONTICS
MI
Enumeration date
01/09/2007
Last updated
05/21/2021
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