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Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization
I ZAK DDS PROF DENTAL CORP
Active
Other names
Zak Dental, Practice of I. ZAK D.D.S. PROF. DENTAL CORP., Dr. Zak La Mirada Dental Care, Dr. Zak Whittier Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA ZAK DDS (CEO, DENTIST)
(310) 503-9277
Entity
Organization
Contact information
Practice address
9229 COLIMA RD, WHITTIER, CA 90605-1809
(562) 947-3761
Mailing address
10501 LAKEWOOD BLVD, DOWNEY, CA 90241-2709
(310) 503-9277
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
07/24/2019
Last updated
10/29/2021
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