Individual
DR. CHESTER LUCKETT KOLSTAD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 E COLORADO STREET, PALESTINE, TX 75801
(903) 729-1442
(903) 729-1024
Mailing address
PO BOX 1368, PALESTINE, TX 75802
(903) 729-1442
(903) 729-1024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11196
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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