NPI 1033859863
I Zak DDS Prof Dental Corp
Practice location
- Address
- 3620 Long Beach Blvd STE B6, Long Beach, CA 90807-6008
- Phone
- (562) 426-6458
- Mailing address
- 10501 Lakewood Blvd, Downey, CA 90241-2709
Authorised official
- Name
- Ilya Zak
- Title
- President/Ceo
- Phone
- (310) 805-5201
Registered specialties (6)
Dentist
Primary
Endodontics
General Practice Dentistry
Periodontics
Oral and Maxillofacial Surgery (Dentist)
Orthodontics and Dentofacial Orthopedics Dentistry
Registry record
- NPI
- 1033859863
- Entity type
- Organization
- NPI issued
- 30 Mar 2022
- Record last updated
- 30 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.