Individual
QUINTON COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1538 CHANTILLY DR NE APT 233, ATLANTA, GA 30324-3288
(770) 778-8091
Mailing address
1538 CHANTILLY DR NE APT 233, ATLANTA, GA 30324-3288
(770) 778-8091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015973
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/24/2019
Last updated
11/05/2024
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