Healthcare Provider Details

I. General information

NPI: 1699546184
Provider Name (Legal Business Name): ZAGHI DENTAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 E ST
BAKERSFIELD CA
93301-4223
US

IV. Provider business mailing address

2016 E ST
BAKERSFIELD CA
93301-4223
US

V. Phone/Fax

Practice location:
  • Phone: 818-635-4000
  • Fax:
Mailing address:
  • Phone: 818-635-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DAVID ZAGHI
Title or Position: OWNER/DOCTOR
Credential: DDS
Phone: 818-635-4000