BOHANNAN DENTAL CORPORATION
Organization (NPI-2)
Active
Clinic/Center, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1558422725- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2025 FOREST AVE SUITE 6, SAN JOSE, CA, 951284806
- Phone
- (408) 286-1553
- Fax
- (408) 286-8511
Specialties & Taxonomies
Clinic/Center, Oral and Maxillofacial Surgery
Primary License: CA #A66471