Individual
DR. BRENT LEE FLORINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4151 KNOB DR STE 101, EAGAN, MN 55122-1876
(651) 688-8592
(651) 688-3415
Mailing address
4151 KNOB DR STE 101, EAGAN, MN 55122-1876
(651) 688-8592
(651) 688-3415
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9263
MN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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