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Individual
DR. PAUL GUNNAR BOHMAN
Active
Individual
DR. PAUL GUNNAR BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DDS43902
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-156C
NV
Other
Enumeration date
03/09/2007
Last updated
08/23/2018
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