Provider Demographics
NPI:1518305655
Name:ZILS, LEAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:ZILS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11530 GRANT RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5861
Mailing Address - Country:US
Mailing Address - Phone:281-469-3282
Mailing Address - Fax:281-833-0102
Practice Address - Street 1:11530 GRANT RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5861
Practice Address - Country:US
Practice Address - Phone:281-469-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist