Individual
PAUL MAURICE COLTHIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 787-3040
Mailing address
752 DURFEE CT, FORT WAINWRIGHT, AK 99703-1416
(907) 356-2228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN012701
GA
1223D0001X
Public Health Dentistry
Primary
DN012701
GA
1223G0001X
General Practice Dentistry
DN012701
GA
Other
Enumeration date
05/20/2006
Last updated
12/06/2024
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