Individual
KRISTIN STHOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
881 USS JAMES MADISON RD BLDG 1028, KINGS BAY, GA 31547-2531
(912) 573-4212
Mailing address
881 USS JAMES MADISON RD BLDG 1028, KINGS BAY, GA 31547-2531
(912) 573-4212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH23050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH23050
RDH LICENSE
FL
Enumeration date
10/05/2021
Last updated
10/05/2021
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