Individual
PAUL B COTNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2718 FORUM BLVD, SUITE 1, COLUMBIA, MO 65203-5451
(573) 446-1775
(573) 446-1802
Mailing address
2718 FORUM BLVD, SUITE 1, COLUMBIA, MO 65203-5451
(573) 446-1775
(573) 446-1802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13814
MO
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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