Provider Demographics
NPI:1841363397
Name:REYES, LOVELINE DULAY (DDS)
Entity type:Individual
Prefix:MRS
First Name:LOVELINE
Middle Name:DULAY
Last Name:REYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:LOVELINE
Other - Middle Name:ESTANISLAO
Other - Last Name:DULAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:929 RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091
Mailing Address - Country:US
Mailing Address - Phone:847-256-9095
Mailing Address - Fax:847-256-0089
Practice Address - Street 1:929 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091
Practice Address - Country:US
Practice Address - Phone:847-256-9095
Practice Address - Fax:847-256-0089
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4959T122300000X
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist