DR. Daniel Tyler Marvin, DDS
NPI #1831258706 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1831258706
- Entity Type
- Individual
- Name
- DR. Daniel Tyler Marvin, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 7, 2006
- Last Updated
- Aug 23, 2007
Practice Location
- Address
- 4000 CENTRAL AVE NE
- Address 2
- SUITE 308
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-2968
- Phone
- (763) 781-7475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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