Individual
DR. ALEKSEY KOZLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 BIRCH RD, CEDAR CREST, NM 87008-9553
(505) 281-2622
(505) 407-4044
Mailing address
PO BOX 979, CEDAR CREST, NM 87008-0979
(505) 281-2622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4950
NM
Other
Enumeration date
06/29/2018
Last updated
04/02/2025
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