I Zak DDS Prof Dental Corp

NPI #1588901979 in Downey, California

Provider Information

NPI Number: 1588901979
Entity Type: Organization
Organization Name: I Zak DDS Prof Dental Corp
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2013
Last Updated: Apr 14, 2016

Practice Location

Address: 10501 LAKEWOOD BLVD
Address 2: STE A & B
City: Downey
State: California
ZIP Code: 90241-2709
Phone: (562) 862-2341

Authorized Official

Name: DR. ILYA ZAK, DDS
Title: OWNER, DENTIST
Phone: (310) 706-5273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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