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Organization
ILYA ZAK DDS INC.
Active
Organization
ILYA ZAK DDS INC.
Active
Other names
Dr. Zak Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA ZAK D.D.S. (OWNER, PRESIDENT)
3108055201100
Entity
Organization
Contact information
Practice address
4537 ALAMO ST, SUITE A, SIMI VALLEY, CA 93063-6531
(805) 520-1100
(805) 520-9858
Mailing address
4537 ALAMO ST, SUITE A, SIMI VALLEY, CA 93063-6531
(805) 520-1100
(805) 520-9858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26453
CA
122300000X
Dentist
Primary
38238
CA
122300000X
Dentist
46372
CA
1223E0200X
Endodontics
20673
CA
1223P0300X
Periodontics
—
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
48198
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57513
CA
Other
Enumeration date
04/10/2012
Last updated
04/14/2016
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