Individual
SHERRY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2035 EAGLE DR UNIT 110, PAGOSA SPRINGS, CO 81147-9013
(970) 731-3393
Mailing address
126 BUTTE DR, PAGOSA SPRINGS, CO 81147-9142
(970) 731-3393
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2078
CO
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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