Individual
DR. YOHANNES GHIRMAY HADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
420 W WATKINS RD, PHOENIX, AZ 85003-2830
(602) 254-3338
Mailing address
8445 N 23RD AVE APT 165, PHOENIX, AZ 85021-4815
(602) 509-8741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38107
TX
Other
Enumeration date
02/13/2021
Last updated
03/31/2022
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