| NPI | 1558422725 |
|---|---|
| Other Name | WILLIAM B. BOHANNAN DDS, MD |
| Entity Type | Organization |
| Authorized Contact | WILLIAM B BOHANNAN Owner President 408-286-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA A66471) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |