Organization
DOUGLA R. COLTHURST D.D.S.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R. COLTHURST D.D.S (OWNER/PRESIDENT)
(815) 344-0453
Entity
Organization
Contact information
Practice address
3420 W ELM ST, MCHENRY, IL 60050-4433
(815) 344-0453
(815) 344-3588
Mailing address
3420 W ELM ST, MCHENRY, IL 60050-4433
(815) 344-0453
(815) 344-3588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/14/2006
Last updated
09/06/2023
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