# BRENT L FLORINE, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral Surgery Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245582063
- **Authorized official:** DR. BRENT L FLORINE DDS (PRESIDENT)
- **Authorized official phone:** (651) 688-8592

## Contact information

- **Practice address:** 4151 KNOB DR STE 101, EAGAN, MN 55122-1876
- **Practice address phone:** (651) 688-8592
- **Mailing address:** 4151 KNOB DR STE 101, EAGAN, MN 55122-1876
- **Mailing address phone:** (651) 688-8592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 9263 | MN | Yes |

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 10/03/2012