Organization · Type 2 NPI
Aleksey Kozlov, D.m.d., LLC
Dental Clinic/Center · Cedar Crest, NM
NPI number
1689262818
Active
Practice location
2 Birch Road
Cedar Crest, NM 87008
Mailing address
13150 Wenonah Ave SE Apt 521
Albuquerque, NM 87123-3857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1689262818
Aleksey Kozlov, D.m.d., LLC's National Provider Identifier is 1689262818, issued on Jan 4, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cedar Crest, NM. The record was last updated on Jan 4, 2021.