Individual
KYLE DAVID POPPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 SHOSHONE ST N, TWIN FALLS, ID 83301-6364
(208) 733-0695
(208) 736-4540
Mailing address
1001 SHOSHONE ST N, TWIN FALLS, ID 83301-6364
(208) 733-0695
(208) 736-4540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3554
ID
Other
Enumeration date
07/01/2006
Last updated
07/09/2007
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