BOHANNAN DENTAL CORPORATION
Ambulatory Health at Forest Ave, San Jose, CA

License number
California A66471
Category
Ambulatory Health
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. WILLIAM B BOHANNAN D.D.S., M.D.
Title: OWNER PRESIDENT
Phone: (408) 286-1553
Address
Address
2025 Forest Ave SUITE 6, San Jose, CA 95128
National Provider ID: 1558422725
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BOHANNAN DENTAL CORPORATION at bizstanding.com

BOHANNAN DENTAL CORP

2025 Frst Ave STE 6, San Jose, CA 95128

Registration:
Apr 29, 1999
State ID:
C2161867
Business type:
Articles of Incorporation
President:
William B. Bohannan (President)
Agent:
Beth F Chagonjian,Redwood City, CA 94061 (Physical)

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