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Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization
I ZAK DDS PROF DENTAL CORP
Active
Other names
Dr. Zak Dental Care, Dr. Zak Plaza Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA ZAK DDS (CEO / DENTAL DIRECT)
(562) 862-2341
Entity
Organization
Contact information
Practice address
1161 PARK VIEW DR STE 100, COVINA, CA 91724-3757
(909) 599-2444
Mailing address
443 21ST ST, SANTA MONICA, CA 90402-2435
(310) 706-5273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38238
DENTAL LICENSE
CA
Enumeration date
06/18/2018
Last updated
01/16/2024
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