Kemp Dental LLC

NPI #1255503777 in Pocatello, Idaho

Provider Information

NPI Number: 1255503777
Entity Type: Organization
Organization Name: Kemp Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 1541 E CLARK ST
City: Pocatello
State: Idaho
ZIP Code: 83201-4100
Phone: (208) 232-6400

Authorized Official

Name: MR. SID ELLIS HEDGES, DGMA
Title: PRACTICE ADMINISTRATOR
Phone: (208) 232-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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