Individual
DR. LARRY ALLEN KOZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
436 N ROXBURY DRIVE SUITE 109, BEVERLY HILLS, CA 90210
(310) 385-1311
(310) 385-1377
Mailing address
436 N ROXBURY DRIVE SUITE 109, BEVERLY HILLS, CA 90210
(310) 385-1311
(310) 385-1377
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
24674
CA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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