Individual provider · Type 1 NPI
Larry Allen Kozek, DDS
Dental Clinic/Center · Beverly Hills, CA
NPI number
1760640668
Active
Practice location
436 N Roxbury Drive Suite 109
Beverly Hills, CA 90210
Fax (310) 385-1377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 24674 (CA) |
Dental Clinic/Center: Definition to come...
About NPI 1760640668
Larry Allen Kozek, DDS's National Provider Identifier is 1760640668, issued on May 28, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Beverly Hills, CA. The record was last updated on May 28, 2008.