Individual
DR. WILLIAM B BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1750 EL CAMINO REAL, SUITE 403, BURLINGAME, CA 94010-3228
(650) 692-1530
(650) 692-2655
Mailing address
1750 EL CAMINO REAL, SUITE 403, BURLINGAME, CA 94010
(650) 692-1530
(650) 692-2655
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A64471
CA
Other
Enumeration date
12/11/2006
Last updated
04/05/2024
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