Individual
DR. HELENE M DOLCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
301 PETERSON RD., SUITE B, LIBERTYVILLE, IL 60048-1041
(847) 680-3560
(847) 680-3561
Mailing address
301 PETERSON RD., SUITE B, LIBERTYVILLE, IL 60048-1041
(847) 680-3560
(847) 680-3561
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021001835
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
190-24119
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019024119
DENTIST
IL
01
—
021001835
ORAL & MAXILLOFACIAL SURG
IL
01
—
137000425
GENERAL ANES PERMIT
IL
01
—
319012811
CONTROLLED SUBSTANCE
IL
Enumeration date
08/20/2006
Last updated
02/05/2024
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