Provider Demographics
NPI:1316291750
Name:DOLCE, DEVON
Entity type:Individual
Prefix:MISS
First Name:DEVON
Middle Name:
Last Name:DOLCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-3412
Mailing Address - Country:US
Mailing Address - Phone:716-679-8713
Mailing Address - Fax:
Practice Address - Street 1:75 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-1630
Practice Address - Country:US
Practice Address - Phone:716-672-2731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist