| I Zak Dds Prof Dental Corp | |
|
41593 Winchester Rd Ste 211 Temecula CA 92590-4857 | |
| (951) 296-3366 | |
| Not Available |
| Full Name | I Zak Dds Prof Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 41593 Winchester Rd Ste 211, Temecula, California |
| Authorized Official Name and Position | Ilya Zak (OWNER CEO) |
| Authorized Official Contact | 3107065273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Zak Dds Prof Dental Corp 3355 Cochran St Ste 206 Simi Valley CA 93063-2532 Ph: (310) 503-9277 | I Zak Dds Prof Dental Corp 41593 Winchester Rd Ste 211 Temecula CA 92590-4857 Ph: (951) 296-3366 |
| NPI Number | 1386163483 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386163483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38238 (California) | Primary |
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