Individual
DR. PAUL GUNNAR BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1280 S VICTORIA AVE, SUITE 250, VENTURA, CA 93003
(805) 642-8672
(805) 642-8686
Mailing address
1280 S VICTORIA AVE, SUITE 250, VENTURA, CA 93003-6555
(805) 642-8672
(805) 642-8686
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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