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1740387802
ROGER HARRISON BOHANNAN
BEDFORD, TX
NPI
1740387802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 8921)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. ROGER HARRISON BOHANNAN DDS
1404 BROWN TRAIL SUITE E
BEDFORD, TX 76022-6417
Phone number: 817-282-6751
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Mailing Address
Dr. ROGER HARRISON BOHANNAN DDS
1404 BROWN TRAIL SUITE E
BEDFORD, TX 76022-6417
Phone number: 817-282-6751
Copy
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