Individual
DR. DANIEL HAILE MICHAEL YOHANNES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 W UNION HILLS DR, STE #8, PHOENIX, AZ 85027-6629
(623) 516-7766
(623) 516-7788
Mailing address
602 W UNION HILLS DR, STE #8, PHOENIX, AZ 85027-6629
(623) 516-7766
(623) 516-7788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1563763
UNITED CONCORDIA
AZ
01
—
955148
AHCCCS
AZ
01
—
AZ0419710
BCBS
AZ
Enumeration date
05/03/2006
Last updated
07/08/2007
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