| NPI | 1629633037 |
|---|---|
| Other Name | DR. ZAK MISSION DENTAL GROUP |
| Other Name | DR. ZAK VENTURA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ILYA ZAK CEO 661-253-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223D0001X Dentist, Dental Public Health | |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2021-08-12 |