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Organization
ILYA ZAK DDS INC.
Active
Organization
ILYA ZAK DDS INC.
Active
Other names
Dr. Zak Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA ZAK DDS (OWNER DENTIST)
(310) 706-5273
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD, SUITE 150, VALENCIA, CA 91355-5332
(661) 253-4000
(661) 253-4063
Mailing address
23838 VALENCIA BLVD, SUITE 150, VALENCIA, CA 91355-5332
(661) 253-4000
(661) 253-4063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38238
CA
1223E0200X
Endodontics
20673
CA
1223G0001X
General Practice Dentistry
61574
CA
1223P0221X
Pediatric Dentistry
50315
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
48198
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023165255-3
DENTI-CAL
CA
Enumeration date
02/15/2013
Last updated
04/14/2016
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