Search › Michigan › 1223P0221X
George Tache, DDS
NPI 1952311193 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1952 Holland Ave
Port Huron, MI 48060 - Phone
- (810) 985-9660
- Fax
- (810) 985-9666
- Organisation at this address
- Lakeside Pediatric Dental Specialists
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan