Provider Demographics
NPI:1750497855
Name:FLOR, ALBERT DAVID (DDS)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:DAVID
Last Name:FLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:56007-0003
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:56007-0003
Practice Address - Country:US
Practice Address - Phone:507-377-5033
Practice Address - Fax:507-369-0090
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND7543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist