| Roger H Bohannan Dds Inc | |
|
1404 Brown Trail Suite E Bedford TX 76022-6417 | |
| (817) 282-6751 | |
| Not Available |
| Full Name | Roger H Bohannan Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1404 Brown Trail, Bedford, Texas |
| Authorized Official Name and Position | Roger Harrison Bohannan (PRESIDENT) |
| Authorized Official Contact | 8172826751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger H Bohannan Dds Inc 1404 Brown Trail Suite E Bedford TX 76022-6417 Ph: (817) 282-6751 | Roger H Bohannan Dds Inc 1404 Brown Trail Suite E Bedford TX 76022-6417 Ph: (817) 282-6751 |
| NPI Number | 1881791937 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881791937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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