Provider Demographics
NPI:1497876866
Name:EMIL ZAKHARY DDS INC
Entity Type:Organization
Organization Name:EMIL ZAKHARY DDS INC
Other - Org Name:VICTOR VALLEY DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:AYAD
Authorized Official - Last Name:ZAKHARY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-245-0151
Mailing Address - Street 1:14689 VALLEY CENTER DR
Mailing Address - Street 2:SUITE E101
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-4200
Mailing Address - Country:US
Mailing Address - Phone:760-245-0151
Mailing Address - Fax:760-245-8414
Practice Address - Street 1:14689 VALLEY CENTER DR
Practice Address - Street 2:SUITE E101
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-4200
Practice Address - Country:US
Practice Address - Phone:760-245-0151
Practice Address - Fax:760-245-8414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G9268301OtherDENTICAL
G9268302OtherDENTICAL