Individual
JAMES M. KORNEGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MAGD,PA
Contact information
Practice address
1617 CATALINA BLVD, DELTONA, FL 32725-9699
(386) 789-7990
(386) 789-4503
Mailing address
PO BOX 390189, DELTONA, FL 32739-0189
(386) 789-7990
(386) 789-4503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11103
FL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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