Healthcare Provider Details

I. General information

NPI: 1003606971
Provider Name (Legal Business Name): ZAGHI DENTAL GROUP NEWHALL, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23754 NEWHALL AVE
SANTA CLARITA CA
91321-3125
US

IV. Provider business mailing address

23754 NEWHALL AVE
SANTA CLARITA CA
91321-3125
US

V. Phone/Fax

Practice location:
  • Phone: 661-255-9200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

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