Individual
DR. ATHAS NICHOLAS KOMETAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3162 S ATLANTIC AVE, SUITE C, DAYTONA BEACH SHORES, FL 32118-6286
(386) 760-0030
(386) 788-3873
Mailing address
3162 S ATLANTIC AVE, SUITE C, DAYTONA BEACH SHORES, FL 32118-6286
(386) 760-0030
(386) 788-3873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11431
FL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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