Individual
SHERRY LYNN RAABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
106 CHERRY RIDGE LN, WEST SUNBURY, PA 16061-2234
(814) 229-9352
Mailing address
106 CHERRY RIDGE LN, WEST SUNBURY, PA 16061-2234
(814) 229-9352
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
PHDH000248
PA
124Q00000X
Dental Hygienist
DH069520
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124Q00000X
—
PA
Enumeration date
12/24/2020
Last updated
01/08/2021
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