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Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization
I ZAK DDS PROF DENTAL CORP
Active
Other names
Dr. Zak Downey 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
10501 LAKEWOOD BLVD, STE A & B, DOWNEY, CA 90241-2709
(562) 862-2341
(562) 861-8350
Mailing address
10501 LAKEWOOD BLVD, STE A & B, DOWNEY, CA 90241-2709
(562) 862-2341
(562) 861-8350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26453
CA
122300000X
Dentist
Primary
38238
CA
122300000X
Dentist
46372
CA
122300000X
Dentist
48766
CA
122300000X
Dentist
55241
CA
122300000X
Dentist
61574
CA
1223E0200X
Endodontics
20673
CA
1223P0221X
Pediatric Dentistry
60315
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
48198
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57513C
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38238
DENTAL LICENCE NUMBER
CA
Enumeration date
01/07/2013
Last updated
04/14/2016
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