Provider Demographics
NPI:1639634488
Name:CUNHA, ROCHELLA (RDH)
Entity Type:Individual
Prefix:
First Name:ROCHELLA
Middle Name:
Last Name:CUNHA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 MAPLE ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-5143
Mailing Address - Country:US
Mailing Address - Phone:413-420-2200
Mailing Address - Fax:413-533-6375
Practice Address - Street 1:91 E MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1801
Practice Address - Country:US
Practice Address - Phone:413-420-6260
Practice Address - Fax:413-562-3380
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADH87202124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist