| Aleksey Kozlov, D.m.d., Llc | |
|
2 Birch Road Cedar Crest NM 87008 | |
| (505) 281-2622 | |
| Not Available |
| Full Name | Aleksey Kozlov, D.m.d., Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 Birch Road, Cedar Crest, New Mexico |
| Authorized Official Name and Position | Aleksey Kozlov (MEMBER) |
| Authorized Official Contact | 9162472048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleksey Kozlov, D.m.d., Llc 13150 Wenonah Ave Se Apt 521 Albuquerque NM 87123-3857 Ph: () - | Aleksey Kozlov, D.m.d., Llc 2 Birch Road Cedar Crest NM 87008 Ph: (505) 281-2622 |
| NPI Number | 1689262818 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 01/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689262818 | NPI | - | NPPES |
| 1124513288 | Other | NM | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |