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NPI Code Detail

MEDICARE: COBB DENTAL CORPORATION

MEDICARE: COBB DENTAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist38978CA

General Provider Information

NPI Number : 1841439965
Entity Type Code : Organization
Provider Name (Legal Business Name) : COBB DENTAL CORPORATION
Provider Business Mailing Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 310-632-2113
Fax Number : 310-632-0047
Provider Business Practice Location Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 310-632-2113
Fax Number : 310-632-0047
Authorized Official
Title or Position : DENTIST/PRESIDENT
Name : DR. RODNEY LAMONT COBB
Credential : D.D.S.
Telephone Number : 310-632-2113
Provider Enumeration Date : 02/12/2009
Last Update Date : 02/12/2009

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Directions to “COBB DENTAL CORPORATION ” Practice Location

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