| Kistler Dental Pllc | |
|
2818 S 25th E Idaho Falls ID 83404-6509 | |
| (208) 243-8391 | |
| Not Available |
| Full Name | Kistler Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2818 S 25th E, Idaho Falls, Idaho |
| Authorized Official Name and Position | Amanda Kistler (OWNER) |
| Authorized Official Contact | 2082438391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kistler Dental Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Kistler Dental Pllc 2818 S 25th E Idaho Falls ID 83404-6509 Ph: (208) 243-8391 |
| NPI Number | 1780355453 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780355453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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