Brent L Florine, Dds, Pllc

NPI #1245582063 in Eagan, Minnesota

Provider Information

NPI Number: 1245582063
Entity Type: Organization
Organization Name: Brent L Florine, Dds, Pllc
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Oct 3, 2012
Last Updated: Oct 3, 2012

Practice Location

Address: 4151 KNOB DR STE 101
City: Eagan
State: Minnesota
ZIP Code: 55122-1876
Phone: (651) 688-8592

Authorized Official

Name: DR. BRENT L FLORINE, DDS
Title: PRESIDENT
Phone: (651) 688-8592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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