Organization
ZAK DENTAL CORP
Active
Other names
Dr. Zak Long Beach Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA ZAK D.D.S. (DENTIST/OWNER/CEO)
(310) 706-5273
Entity
Organization
Contact information
Practice address
3620 LONG BEACH BLVD, SUITE B6, LONG BEACH, CA 90807-4022
(562) 426-6458
(310) 734-1546
Mailing address
3620 LONG BEACH BLVD, SUITE B6, LONG BEACH, CA 90807-4022
(562) 426-6458
(310) 734-1546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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