Provider Demographics
NPI:1740347319
Name:FRIEDRICH, ROCHELLE M (DDS)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:M
Last Name:FRIEDRICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 EAST BRIDGE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017
Mailing Address - Country:US
Mailing Address - Phone:440-234-6400
Mailing Address - Fax:440-234-6402
Practice Address - Street 1:43 EAST BRIDGE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017
Practice Address - Country:US
Practice Address - Phone:440-234-6400
Practice Address - Fax:440-234-6402
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH210301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice