Healthcare Provider Details

I. General information

NPI: 1982404810
Provider Name (Legal Business Name): ZAGHI DENTAL PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 H ST STE A
BAKERSFIELD CA
93304-2975
US

IV. Provider business mailing address

1030 H ST STE A
BAKERSFIELD CA
93304-2975
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-9421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DAVID ZAGHI
Title or Position: OWNER DENTIST
Credential:
Phone: 818-635-4000