NPI | 1669533832 |
---|---|
Doing Business As | WILLIAM B. BOHANNAN DDS, MD |
Entity Type | Organization |
Authorized Contact | WILLIAM B BOHANNAN President Owner 650-692-1530 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA A64471) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |