| NPI | 1447862123 |
|---|---|
| Doing Business As | NOVA DENTAL PRACTICE OF MARYNA KOZYRYEV DDS INC |
| Entity Type | Organization |
| Authorized Contact | MARYNA KOZYRYEV President 916-534-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-10-29 |