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Dr. Tanaya Celise Porter, DDS
Student in an Organized Health Care Education/Training Program in Lathrup Village, Michigan
NPI 1679829659

Tanaya Celise Porter is a Student in an Organized Health Care Education/Training Program based in Romulus, MI. Tanaya Celise Porter practices in Lathrup Village, MI and has the professional credentials of DDS. The NPI Number for Tanaya Celise Porter is 1679829659 and holds a License No. 2901021136 (Michigan).

The current practice location address for Tanaya Celise Porter is 18181 W 12 Mile Rd, Lathrup Village, MI and can be reached out via phone at 313-804-1463.

Location: 18181 W 12 Mile Rd, Lathrup Village, MI, 48174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679829659
Provider Name
Tanaya Celise Porter
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
18181 W 12 Mile Rd, Lathrup Village, MI, 48174
Phone Number
313-804-1463
Fax Number
Provider Enumeration Date
07/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18181 W 12 Mile Rd
City
Lathrup Village
State
Michigan
Zip
48076-2666
Phone Number
313-804-1463
Fax Number
person
Provider Business Mailing Address Details
Address
18181 W 12 Mile Rd
City
Lathrup Village
State
Michigan
Zip
48076-2666
Phone Number
313-804-1463
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2901021136 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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