| 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 |