Healthcare Provider Details

I. General information

NPI: 1295652956
Provider Name (Legal Business Name): MAJD BASHAR HAZIM AL ZAKR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 CENTER DR
LA MESA CA
91942-3001
US

IV. Provider business mailing address

2011 TETON PASS ST
EL CAJON CA
92019-4210
US

V. Phone/Fax

Practice location:
  • Phone: 619-704-0290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS113041
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: