| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |