Kyle James Siemen, D.m.d., P.a.

NPI #1285044529 in Pocatello, Idaho

Provider Information

NPI Number: 1285044529
Entity Type: Organization
Organization Name: Kyle James Siemen, D.m.d., P.a.
Primary Specialty: Dentist
Enumeration Date: May 7, 2014
Last Updated: May 7, 2014

Practice Location

Address: 333 W CEDAR ST
City: Pocatello
State: Idaho
ZIP Code: 83201-5045
Phone: (208) 233-6912

Authorized Official

Name: DR. KYLE JAMES SIEMEN, D.M.D
Title: DENTIST/PRESIDENT
Phone: (208) 233-6912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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