Provider Demographics
NPI:1407974488
Name:ZAKHARIN, MAYA (DDS)
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:
Last Name:ZAKHARIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:VINARSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6055 SAN VICENTE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-4401
Mailing Address - Country:US
Mailing Address - Phone:323-933-9002
Mailing Address - Fax:323-933-7361
Practice Address - Street 1:6055 SAN VICENTE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036
Practice Address - Country:US
Practice Address - Phone:323-933-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38379122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty