Provider Demographics
NPI:1598975724
Name:DOLATRE, HELEN TORRES (DMD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:TORRES
Last Name:DOLATRE
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 1:5944B NEWPARK PLZ
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5237
Mailing Address - Country:US
Mailing Address - Phone:510-790-0123
Mailing Address - Fax:510-790-0128
Practice Address - Street 1:5944B NEWPARK PLZ
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5237
Practice Address - Country:US
Practice Address - Phone:510-790-0123
Practice Address - Fax:510-790-0128
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice