Bonita Dental Group Pllc

NPI #1710586433 in Boston, Massachusetts

Provider Information

NPI Number: 1710586433
Entity Type: Organization
Organization Name: Bonita Dental Group Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2020
Last Updated: Oct 23, 2020

Practice Location

Address: 328 NEWBURY ST
City: Boston
State: Massachusetts
ZIP Code: 02115-2715
Phone: (617) 536-5182

Authorized Official

Name: WILLIAM HERR, DDS
Title: OWNER
Phone: (419) 438-4789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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