| I Zak Dds Prof Dental Corp | |
|
15301 Washington Ave San Leandro CA 94579-1811 | |
| (510) 351-6820 | |
| Not Available |
| Full Name | I Zak Dds Prof Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 15301 Washington Ave, San Leandro, California |
| Authorized Official Name and Position | Ilya Zak (CEO/PRESIDENT) |
| Authorized Official Contact | 3105039277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Zak Dds Prof Dental Corp 10501 Lakewood Blvd Downey CA 90241-2709 Ph: (310) 503-9277 | I Zak Dds Prof Dental Corp 15301 Washington Ave San Leandro CA 94579-1811 Ph: (510) 351-6820 |
| NPI Number | 1487208773 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487208773 | NPI | - | NPPES |
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