Kotok, Lawrence Joseph

Kotok, Lawrence Joseph is an individual health care provider with primary practice located at 16342 County Rd 30 , Maple Grove MN 55311. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kotok, Lawrence Joseph can be contacted via phone (763) 420-9876.

Contact Information

Primary practice address
16342 County Rd 30 Maple Grove MN 55311
Fax: (763) 420-2354
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9661 Minnesota

Profile Details

NPI number 1912053422
LBN Legal business name Kotok, Lawrence Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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