Chester Luckett Kolstad III DDS

NPI 1881775153 - Dentist - 122300000X

NPI Details
NPI 1881775153
Gender Male
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
107 E COLORADO STREET
PALESTINE TX, 75801, US
Phone (903) 729-1442
Fax (903) 729-1024
Business Location
PO BOX 1368
PALESTINE TX, 75802, US
Phone (903) 729-1442
Fax (903) 729-1024
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 11196
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According to our database, Dr. Chester Luckett Kolstad III DDS NPI is 1881775153, taxonomy code is 122300000X and license number is 11196, license state is located at Texas. Chester Luckett Kolstad III DDS physically located at 107 E Colorado Street, Palestine TX, 75801. NPI Number Chester Luckett Kolstad III DDS has the Individual type.

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1881775153 NPI number is provided on an as is basis without warranty of any kind. 1881775153 is maintained by the National Plan & Provider Enumeration System. The contents of Chester Luckett Kolstad III DDS are for informational purposes only.