Organization
MARYNA KOZYRYEV DDS INC
Active
Other names
Nova Dental Practice of Maryna Kozyryev DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARYNA KOZYRYEV DDS (PRESIDENT)
(916) 534-7178
Entity
Organization
Contact information
Practice address
5460 SUNRISE BLVD STE 5, CITRUS HEIGHTS, CA 95610-7851
(916) 534-7178
(916) 534-7460
Mailing address
5460 SUNRISE BLVD STE 5, CITRUS HEIGHTS, CA 95610-7851
(916) 534-7178
(916) 534-7460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
10/29/2020
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