Individual
CHESTON THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 WOLFE NURSERY RD STE 180, STEPHENVILLE, TX 76401-3767
(254) 965-1931
Mailing address
5800 N I 35 STE 205, DENTON, TX 76207-1438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35222
TX
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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