Marvin, Daniel Tyler

Marvin, Daniel Tyler is an individual health care provider with primary practice located at 4000 Central Ave Ne Suite 308, Columbia Heights MN 55421-2968. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marvin, Daniel Tyler can be contacted via phone (763) 781-7475.

Contact Information

Primary practice address
4000 Central Ave Ne Suite 308 Columbia Heights MN 55421-2968
Phone: (763) 781-7475
Fax: (763) 781-0828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D9473 Minnesota

Profile Details

NPI number 1831258706
LBN Legal business name Marvin, Daniel Tyler
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Aug 23rd, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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