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Bohannan Dental Corporation
Oral and Maxillofacial Surgery Clinic/Center in San Jose, California
NPI 1558422725

Bohannan Dental Corporation is a Oral and Maxillofacial Surgery Clinic/Center based in San Jose, CA and is specialized in Oral and Maxillofacial Surgery. Bohannan Dental Corporation practices in San Jose, CA. The NPI Number for Bohannan Dental Corporation is 1558422725 and holds a License No. A66471 (California).

The current practice location address for Bohannan Dental Corporation is 2025 Forest Ave, San Jose, CA and can be reached out via phone at 408-286-1553 and via fax at 408-286-8511.

Location: 2025 Forest Ave, San Jose, CA, 95128-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558422725
Provider Name
Bohannan Dental Corporation
Credential
Provider Entity Type
Organization
Address
2025 Forest Ave, San Jose, CA, 95128-4806
Phone Number
408-286-1553
Fax Number
408-286-8511
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2025 Forest Ave
City
San Jose
State
California
Zip
95128-4806
Phone Number
408-286-1553
Fax Number
408-286-8511
person
Provider Business Mailing Address Details
Address
2025 Forest Ave
City
San Jose
State
California
Zip
95128-4806
Phone Number
408-286-1553
Fax Number
408-286-8511
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
A66471 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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