Individual
JEREMY COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1830 BLANKENSHIP RD, SUITE 225, WEST LINN, OR 97068-4181
(503) 722-2006
Mailing address
1830 BLANKENSHIP RD, SUITE 225, WEST LINN, OR 97068-4181
(503) 722-2006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9504
OR
Other
Enumeration date
08/23/2010
Last updated
09/30/2013
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