Provider Demographics
NPI:1740390236
Name:ZAKHARY, EMIL AYAD (DENTIST)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:AYAD
Last Name:ZAKHARY
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14689 VALLEY CENTER DR
Mailing Address - Street 2:STE E101 VICTOR VALLEY DENTAL
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-4200
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:STE E101 VICTOR VALLEY DENTAL
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-4200
Practice Address - Country:US
Practice Address - Phone:760-245-0151
Practice Address - Fax:760-245-8414
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
G92683OtherDENTICAL