Provider Demographics
NPI:1891902854
Name:FRIEND, SHARON JOSIANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:JOSIANNE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:JOSIANNE
Other - Last Name:PATTENDIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 CANTILENA
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673
Mailing Address - Country:US
Mailing Address - Phone:860-961-2948
Mailing Address - Fax:860-536-7403
Practice Address - Street 1:1520 N. EL CAMINO REAL
Practice Address - Street 2:SUITE #5
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672
Practice Address - Country:US
Practice Address - Phone:949-366-1111
Practice Address - Fax:860-536-7403
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41298122300000X, 122300000X
MA21654122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist