Individual
DYLAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MAIN ST NW STE 101, ELK RIVER, MN 55330-1550
(763) 441-4200
Mailing address
901 E RIVER PKWY, MINNEAPOLIS, MN 55414-3194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15443
MN
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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