Provider Demographics
NPI:1073663100
Name:ZAND, ALEK A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEK
Middle Name:A
Last Name:ZAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5830 OBERLIN DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3753
Mailing Address - Country:US
Mailing Address - Phone:858-546-1199
Mailing Address - Fax:
Practice Address - Street 1:5830 OBERLIN DR STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3753
Practice Address - Country:US
Practice Address - Phone:858-546-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist