Charles D Kolb Dds Inc | |
1210 Gregory St Ste 3 Taft TX 78390-0212 | |
(361) 528-3262 | |
(361) 528-2016 |
Full Name | Charles D Kolb Dds Inc |
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Speciality | Dentist - General Practice |
Location | 1210 Gregory St, Taft, Texas |
Authorized Official Name and Position | Charles Douglas Kolb (OWNER DOCTOR) |
Authorized Official Contact | 3615283262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles D Kolb Dds Inc Po Box 212 Taft TX 78390-0212 Ph: (361) 528-3262 | Charles D Kolb Dds Inc 1210 Gregory St Ste 3 Taft TX 78390-0212 Ph: (361) 528-3262 |
NPI Number | 1700044195 |
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Provider Enumeration Date | 06/02/2008 |
Last Update Date | 06/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700044195 | NPI | - | NPPES |
G6016501 | Other | TX | CHIP |
009129001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9333 (Texas) | Primary |