Bohannan Dental Corporation
NPI #1558422725 in San Jose, California
Provider Information
- NPI Number
- 1558422725
- Entity Type
- Organization
- Organization Name
- Bohannan Dental Corporation
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2025 FOREST AVE
- Address 2
- SUITE 6
- City
- San Jose
- State
- California
- ZIP Code
- 95128-4806
- Phone
- (408) 286-1553
Authorized Official
- Name
- DR. WILLIAM B BOHANNAN, D.D.S., M.D.
- Title
- OWNER PRESIDENT
- Phone
- (408) 286-1553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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