Organization
BRYAN COBB DDS,MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN COBB DDS.MS (OWNER)
(336) 288-9445
Entity
Organization
Contact information
Practice address
2600 OAKCREST AVE STE A, GREENSBORO, NC 27408-1935
(336) 288-9445
(336) 288-9491
Mailing address
2600 OAKCREST AVE STE A, GREENSBORO, NC 27408-1935
(336) 288-9445
(336) 288-9491
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC7752404
BNDD NUMBER
—
Enumeration date
02/11/2008
Last updated
06/21/2018
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