William B. Bohannan Dds, Md, PC

NPI #1669533832 in Burlingame, California

Provider Information

NPI Number
1669533832
Entity Type
Organization
Organization Name
William B. Bohannan Dds, Md, PC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Dec 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1750 EL CAMINO REAL
Address 2
SUITE 403
ZIP Code
94010-3228
Phone
(650) 692-1530

Authorized Official

Name
DR. WILLIAM B BOHANNAN, D.D.S., M.D.
Title
PRESIDENT OWNER
Phone
(650) 692-1530

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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