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Organization
ZAK DDS INC.
Active
Organization
ZAK DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA ZAK D.D.S. (DENTIST, CEO)
(310) 706-5273
Entity
Organization
Contact information
Practice address
7319 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1101
(858) 569-9652
Mailing address
10501 LAKEWOOD BLVD, DOWNEY, CA 90241-2709
(310) 503-9277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38238
CA
1223G0001X
General Practice Dentistry
38238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38238
DENTAL LICENSE #
CA
Enumeration date
10/10/2016
Last updated
10/10/2016
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