William B Bohannan D.D.S., M.D.

NPI 1013077239 - Dentist - 1223S0112X

NPI Details
NPI 1013077239
Gender Male
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1750 EL CAMINO REAL
SUITE 403
BURLINGAME CA, 94010-3228, US
Phone (650) 692-1530
Fax (650) 692-2655
Business Location
1750 EL CAMINO REAL
SUITE 403
BURLINGAME CA, 94010, US
Phone (650) 692-1530
Fax (650) 692-2655
Toxanomy
Taxonomy Code 1223S0112X
License State California
License Number OMSPERMIT 24
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According to our database, Dr. William B Bohannan D.D.S., M.D. NPI is 1013077239, taxonomy code is 1223S0112X and license number is OMSPERMIT 24, license state is located at California. William B Bohannan D.D.S., M.D. physically located at 1750 El Camino Real, Burlingame CA, 94010-3228. NPI Number William B Bohannan D.D.S., M.D. has the Individual type.

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1013077239 NPI number is provided on an as is basis without warranty of any kind. 1013077239 is maintained by the National Plan & Provider Enumeration System. The contents of William B Bohannan D.D.S., M.D. are for informational purposes only.