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1952311078
KYLE JAMES SIEMEN
POCATELLO, ID
NPI
1952311078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D-3403)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
DR. KYLE JAMES SIEMEN DMD
333 W CEDAR ST
POCATELLO, ID 83201-5045
Phone number: 208-233-6912
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Mailing Address
DR. KYLE JAMES SIEMEN DMD
4653 MOUNTAIN PARK RD
POCATELLO, ID 83202-1702
Phone number: 208-478-8705
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