Kistler Dental Pllc
NPI #1780355453 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1780355453
- Entity Type
- Organization
- Organization Name
- Kistler Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 23, 2021
- Last Updated
- Jun 20, 2023
Practice Location
- Address
- 2818 S 25TH E
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6509
- Phone
- (208) 243-8391
Authorized Official
- Name
- AMANDA KISTLER
- Title
- OWNER
- Phone
- (208) 243-8391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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