DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANJALIA LATRICE STIDHUM, RDH

Active Sole Proprietor

Dental Hygienist · NORTH LAS VEGAS, NV

Registration Details

NPI Number
1992430029
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2022 (3.7613854486909 yrs)
Last Updated
Oct 26, 2023
License
102207 (NV)
Sole Proprietor
Yes

Practice Information

Address
317 POINT LOMA AVE
NORTH LAS VEGAS, NV, 890317863
Browse NV providers · Browse ZIP 89031
Phone
7028068222
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in NORTH LAS VEGAS, NV

Name Credential NPI
NICOLE MARIE HORN RDH, OMT 1902685308
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.