Organization
BRENT L FLORINE, DDS, PLLC
Active
Other names
Oral Surgery Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT L FLORINE DDS (PRESIDENT)
(651) 688-8592
Entity
Organization
Contact information
Practice address
4151 KNOB DR STE 101, EAGAN, MN 55122-1876
(651) 688-8592
Mailing address
4151 KNOB DR STE 101, EAGAN, MN 55122-1876
(651) 688-8592
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9263
MN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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