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1992119598
KONITA LEE WILKS
GARDEN GROVE, CA
NPI
1992119598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 63433)
Enumeration Date
2014-06-12
Last Update Date
2015-11-08
Business Address
Dr. KONITA LEE WILKS D.D.S.
10602 CHAPMAN AVE
GARDEN GROVE, CA 92840-3146
Phone number: 714-537-0700
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Mailing Address
Dr. KONITA LEE WILKS D.D.S.
6021 KENWICK CIR
HUNTINGTON BEACH, CA 92648-1036
Phone number: 714-642-5200
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