Individual
CHERYLL ANN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, RDHAP
Contact information
Practice address
9730 HURON ST, SPRING VALLEY, CA 91977-5219
(619) 782-1285
Mailing address
9730 HURON ST, SPRING VALLEY, CA 91977-5219
(619) 782-1285
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003
CA
Other
Enumeration date
09/25/2023
Last updated
10/11/2023
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