Individual
DR. LARRY WAYNE COBB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2C CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 271-9990
(864) 235-7959
Mailing address
2C CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 271-9990
(864) 235-7959
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2165
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21655
—
SC
Enumeration date
04/26/2006
Last updated
07/08/2007
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