NPI | 1558791079 |
---|---|
Doing Business As | DR. ZAK LONG BEACH DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ILYA ZAK Dentist/Owner/CEO 310-706-5273 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 122300000X Dentist |
1223E0200X Dentist Endodontics | |
1223S0112X Dentist Oral and Maxillofacial Surgery | |
Enumeration Date | 2013-11-19 |
Last Update Date | 2013-11-19 |