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Organization
POCATELLO DENTAL EXCELLENCE
Active
Organization
POCATELLO DENTAL EXCELLENCE
Active
Other names
Dental Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE FROST DDS (DENTIST)
(208) 521-3449
Entity
Organization
Contact information
Practice address
1525 BALDY AVE, POCATELLO, ID 83201-7117
(208) 238-0011
Mailing address
1525 BALDY AVE, POCATELLO, ID 83201-7117
(208) 238-0011
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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