Provider Demographics
NPI:1841858420
Name:KOHANCHI, DANIEL D (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:KOHANCHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5669 SLOAN PL
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3159
Mailing Address - Country:US
Mailing Address - Phone:818-621-8317
Mailing Address - Fax:
Practice Address - Street 1:5669 SLOAN PL
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3159
Practice Address - Country:US
Practice Address - Phone:818-621-8317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2022-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1038591223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program