Individual
COLIN TRESTER STRUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
125 SOUTHERN JUNCTION BLVD, SUITE 701, POOLER, GA 31322-2214
(912) 330-4545
(888) 629-3621
Mailing address
2155 BENTON BLVD, APT 15303, POOLER, GA 31322-1991
(920) 207-3988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN01426
GA
Other
Enumeration date
04/11/2013
Last updated
07/09/2013
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