Individual
MYRIAM E H RABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3693 KIDRON RD, KIDRON, OH 44636-0020
(330) 857-0144
(330) 857-0246
Mailing address
PO BOX 20, KIDRON, OH 44636-0020
(330) 857-0144
(330) 857-0246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30021462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30021462
STATE LICENSE NUMBER
OH
Enumeration date
08/25/2006
Last updated
02/20/2009
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