Wilks, Konita Lee

Wilks, Konita Lee is an sole proprietor health care provider with primary practice located at 10602 Chapman Ave , Garden Grove CA 92840-3146. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wilks, Konita Lee can be contacted via phone (714) 537-0700.

Contact Information

Primary practice address
10602 Chapman Ave Garden Grove CA 92840-3146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 63433 California

Profile Details

NPI number 1992119598
LBN Legal business name Wilks, Konita Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2014
Last updated Nov 8th, 2015 - about 9 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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