Individual
DR. ERNEST EASTBURN MARTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
825 NICOLLET MALL, SUITE 431, MINNEAPOLIS, MN 55402-2606
(612) 338-8636
Mailing address
825 NICOLLET MALL, SUITE 431, MINNEAPOLIS, MN 55402-2606
(612) 338-8636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7827
MN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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