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Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA ZAK DDS (OWNER CEO)
(310) 706-5273
Entity
Organization
Contact information
Practice address
41593 WINCHESTER RD STE 211, TEMECULA, CA 92590-4857
(951) 296-3366
Mailing address
3355 COCHRAN ST STE 206, SIMI VALLEY, CA 93063-2532
(310) 503-9277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38238
CA
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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