NPI | 1174263974 |
---|---|
Other Name | DR. ZAK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ILYA ZAK President/CEO 310-805-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
1223E0200X Dentist, Endodontics | |
1223G0001X Dentist, General Practice | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |