Organization
WILLIAM B. BOHANNAN DDS, MD, PC
Active
Other names
William B. Bohannan DDS, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B BOHANNAN D.D.S., M.D. (PRESIDENT OWNER)
(650) 692-1530
Entity
Organization
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 94010-3228
(650) 692-1530
(650) 692-2655
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
A64471
CA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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