| Amanda Cobb, D.m.d., Pllc | |
|
785 W Granada Blvd Suite 3 Ormond Beach FL 32174-9522 | |
| (386) 672-6581 | |
| Not Available |
| Full Name | Amanda Cobb, D.m.d., Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 785 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Amanda Cobb (DENTIST) |
| Authorized Official Contact | 3866726581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Cobb, D.m.d., Pllc 785 W Granada Blvd Suite 3 Ormond Beach FL 32174-9522 Ph: (386) 672-6581 | Amanda Cobb, D.m.d., Pllc 785 W Granada Blvd Suite 3 Ormond Beach FL 32174-9522 Ph: (386) 672-6581 |
| NPI Number | 1114303955 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114303955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20119 (Florida) | Primary |
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