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Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization
I ZAK DDS PROF DENTAL CORP
Active
Other names
Dr. Zak Santa Barbara Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA ZAK (PRESIDENT)
(661) 253-4000
Entity
Organization
Contact information
Practice address
5168 HOLLISTER AVE, SANTA BARBARA, CA 93111-2526
(805) 692-8422
Mailing address
10501 LAKEWOOD BLVD, DOWNEY, CA 90241-2709
(562) 862-2341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/22/2019
Last updated
09/16/2020
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