NPI | 1245570043 |
---|---|
Doing Business As | DR. ZAK DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ILYA ZAK Owner Dentist 310-706-5273 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 38238) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 20673) |
1223G0001X Dentist, General Practice (Licence: CA 61574) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: CA 50315) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 48198) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57513) | |
Enumeration Date | 2013-02-15 |
Last Update Date | 2016-04-14 |