Provider Demographics
NPI:1972979656
Name:DR DANIEL H YOHANNES D.D.S., PC
Entity Type:Organization
Organization Name:DR DANIEL H YOHANNES D.D.S., PC
Other - Org Name:CANYON HILLS FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:YOHANNES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:623-516-7766
Mailing Address - Street 1:602 W UNION HILLS DR
Mailing Address - Street 2:#8
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027
Mailing Address - Country:US
Mailing Address - Phone:623-516-7766
Mailing Address - Fax:623-516-7766
Practice Address - Street 1:602 W. UNION HILLS DR
Practice Address - Street 2:#8
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027
Practice Address - Country:US
Practice Address - Phone:623-516-7766
Practice Address - Fax:623-516-7766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. DANIEL H. YOHANNES DDS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty