NPI | 1043576416 |
---|---|
Doing Business As | DR. ZAK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ILYA ZAK Owner, President 310805-520-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 38238) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 26453) |
122300000X Dentist (Licence: CA 46372) | |
1223E0200X Dentist, Endodontics (Licence: CA 20673) | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 48198) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57513) | |
Enumeration Date | 2012-04-10 |
Last Update Date | 2016-04-14 |