Organization
AMANDA COBB, D.M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA COBB D.M.D. (DENTIST)
(386) 672-6581
Entity
Organization
Contact information
Practice address
785 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174-9522
(386) 672-6581
Mailing address
785 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174-9522
(386) 672-6581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20119
FL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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