NPI: 1558422725
Provider Name: BOHANNAN DENTAL CORPORATION
Other Name: WILLIAM B. BOHANNAN DDS, MD
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
2025 FOREST AVE
SUITE 6
SAN JOSE, CA
ZIP 95128
Phone: (408) 286-1553
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BOHANNAN DENTAL CORPORATION is an oral and maxillofacial surgery clinic center in San Jose, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BOHANNAN DENTAL CORPORATION NPI is 1558422725. The provider is registered as an organization entity type.
The provider Other Name Is William B. Bohannan Dds, Md.
The provider's business location address is:
2025 FOREST AVE
SUITE 6
SAN JOSE, CA
ZIP 95128-806
Phone: (408) 286-1553
Fax: (408) 286-8511
The provider's authorized official is William B Bohannan .
The authorized official title is Owner President and has the following contact phone number (408) 286-1553.
The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.