Individual
DR. DANIEL GREGORY KOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3668 WEST ANTHEM WAY, #162, ANTHEM, AZ 85086
(623) 551-7500
(623) 551-5175
Mailing address
34225 N 27TH DRIVE, BLDG 5 ST 241, PHOENIX, AZ 85085-6091
(623) 439-2280
(626) 289-2578
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026113
OH
1223G0001X
General Practice Dentistry
Primary
D011111
AZ
Other
Enumeration date
05/22/2020
Last updated
08/05/2021
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