| Lawrence Kotok Leslie Wilcox Llc | |
|
16342 County Road 30 Maple Grove MN 55311-1207 | |
| (763) 420-9876 | |
| (763) 420-2354 |
| Full Name | Lawrence Kotok Leslie Wilcox Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16342 County Road 30, Maple Grove, Minnesota |
| Authorized Official Name and Position | Leslie Lorraine Wilcox (PARTNER) |
| Authorized Official Contact | 7634209876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Kotok Leslie Wilcox Llc 16342 County Road 30 Maple Grove MN 55311-1207 Ph: (763) 420-9876 | Lawrence Kotok Leslie Wilcox Llc 16342 County Road 30 Maple Grove MN 55311-1207 Ph: (763) 420-9876 |
| NPI Number | 1932367430 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932367430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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