ALEKSEY KOZLOV

FARMINGTON, NM
NPI1124513288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD4950)
Additional Taxonomies122300000X Dentist
(Licence: CO  DEN.00203669)
Enumeration Date2018-06-29
Last Update Date2018-11-09
Business Address
Dr. ALEKSEY KOZLOV DMD
506 AIRPORT DR
FARMINGTON, NM 87401-2602
Phone number: 505-325-7700
Mailing Address
Dr. ALEKSEY KOZLOV DMD
1405 S VALLEY DR STE 200
LAS CRUCES, NM 88005-3132
Phone number: 505-325-7700