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Organization
I ZAK DDS PROF DENTAL CORP
Active
Organization
I ZAK DDS PROF DENTAL CORP
Active
Parent organization
I ZAK DDS PROF DENTAL CORP
Other names
Dr. Zak Ventura Dental Group, Dr. Zak Mission Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
I ZAK DDS PROF DENTAL CORP
Authorized official
ILYA ZAK DDS (CEO)
(661) 253-4000
Entity
Organization
Contact information
Practice address
3383 TELEGRAPH RD, VENTURA, CA 93003-3312
(805) 644-9501
(805) 644-1108
Mailing address
10501 LAKEWOOD BLVD, DOWNEY, CA 90241-2709
(805) 426-9587
(805) 521-4707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
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)
—
—
Other
Enumeration date
05/01/2019
Last updated
08/12/2021
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