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Individual

DR. KYLE BOLIN FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2454 N 25TH E STE 201, IDAHO FALLS, ID 83401-1051
(208) 612-6100
(208) 612-6123
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4112

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013734A
IN
1223G0001X
General Practice Dentistry
Primary
D-5430
ID

Other

Enumeration date
02/09/2022
Last updated
02/23/2026
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