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TANAYA PORTER, DDS
DDS
General Practice Dentistry
NPI: 1679829659IndividualAccepts Medicare
Specialties, Licenses & Credentials
General Practice DentistryPrimary
Dentist — General Practice
Code: 1223G0001X
2901021136(MI)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
CMS Specialties
PrimaryORAL SURGERY
Education
MEHARRY MEDICAL COLLEGE SCHOOL OF DENTISTRY
Class of 2011
Contact & Hours
- Address
- 18181 W 12 MILE RD
LATHRUP VILLAGE, MI 48076 - Phone
- (313) 804-1463
Quick Facts
- NPI
- 1679829659
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 15
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