Whalio Doctors

NPI 1023164092

William J Bohan, DMD

Practitioner General Practice Dentistry Roseville, CA

Practice location

Address
1441 Secret Ravine Pkwy #100, Roseville, CA 95661-6044
Phone
(916) 782-7783
Fax
(916) 782-4699

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 33065 (CA)

Registry record

NPI
1023164092
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.