Pocatello Dental Excellence

NPI #1366134397 in Pocatello, Idaho

Provider Information

NPI Number
1366134397
Entity Type
Organization
Organization Name
Pocatello Dental Excellence
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 26, 2023
Last Updated
May 26, 2023

Practice Location

Address
1525 BALDY AVE
State
Idaho
ZIP Code
83201-7117
Phone
(208) 238-0011

Authorized Official

Name
KYLE FROST, DDS
Title
DENTIST
Phone
(208) 521-3449

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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