Provider Demographics
NPI:1508969692
Name:A DAVID FLOR DDS LTD
Entity Type:Organization
Organization Name:A DAVID FLOR DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:507-377-5033
Mailing Address - Street 1:141 EAST WILLIAM STREET, PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-0036
Mailing Address - Country:US
Mailing Address - Phone:507-377-5033
Mailing Address - Fax:507-369-0090
Practice Address - Street 1:141 EAST WILLIAM STREET
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-0036
Practice Address - Country:US
Practice Address - Phone:507-377-5033
Practice Address - Fax:507-369-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND7543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty