Provider Demographics
NPI:1851694749
Name:INSLICHT, ZIVA HELENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZIVA
Middle Name:HELENE
Last Name:INSLICHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8508 16TH ST
Mailing Address - Street 2:NO. 305
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2969
Mailing Address - Country:US
Mailing Address - Phone:347-239-2776
Mailing Address - Fax:
Practice Address - Street 1:1299 LAMBERTON DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3411
Practice Address - Country:US
Practice Address - Phone:301-649-1361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist