Individual
CYNTHIA KUERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
2120 E 10TH ST, ERIE, PA 16511-3111
(814) 464-0307
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 454-4530
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH071638
PA
124Q00000X
Dental Hygienist
Primary
PHDH000856
PA
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103353787
—
PA
01
—
DH071638
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
01
—
PHDH000856
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
08/17/2017
Last updated
02/12/2020
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