Individual
DR. MARVIN M. TARAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
46890 DEQUINDRE RD, SHELBY TOWNSHIP, MI 48317-3819
(586) 731-3950
Mailing address
46890 DEQUINDRE RD, SHELBY TOWNSHIP, MI 48317-3819
(586) 731-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11504
DENTAL LICENSE NO.
MI
Enumeration date
02/18/2007
Last updated
08/31/2023
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