| Maryna Kozyryev Dds Inc | |
|
5460 Sunrise Blvd Ste 5 Citrus Heights CA 95610-7851 | |
| (916) 534-7178 | |
| (916) 534-7460 |
| Full Name | Maryna Kozyryev Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5460 Sunrise Blvd Ste 5, Citrus Heights, California |
| Authorized Official Name and Position | Maryna Kozyryev (PRESIDENT) |
| Authorized Official Contact | 9165347178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryna Kozyryev Dds Inc 5460 Sunrise Blvd Ste 5 Citrus Heights CA 95610-7851 Ph: (916) 534-7178 | Maryna Kozyryev Dds Inc 5460 Sunrise Blvd Ste 5 Citrus Heights CA 95610-7851 Ph: (916) 534-7178 |
| NPI Number | 1447862123 |
|---|---|
| Provider Enumeration Date | 08/23/2020 |
| Last Update Date | 10/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447862123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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