Provider Demographics
NPI:1831931260
Name:SUAREZ FRIEND, SIERRA ELENA (DDS)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:ELENA
Last Name:SUAREZ FRIEND
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 1:29 JONES ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-2716
Mailing Address - Country:US
Mailing Address - Phone:804-386-2050
Mailing Address - Fax:
Practice Address - Street 1:23 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-2703
Practice Address - Country:US
Practice Address - Phone:276-638-0787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401418927122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist