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Organization
LAWRENCE KOTOK LESLIE WILCOX LLC
Active
Organization
LAWRENCE KOTOK LESLIE WILCOX LLC
Active
Other names
Dunkirk Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE LORRAINE WILCOX DDS (PARTNER)
(763) 420-9876
Entity
Organization
Contact information
Practice address
16342 COUNTY ROAD 30, MAPLE GROVE, MN 55311-1207
(763) 420-9876
(763) 420-2354
Mailing address
16342 COUNTY ROAD 30, MAPLE GROVE, MN 55311-1207
(763) 420-9876
(763) 420-2354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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