Organization
JOHN R BONASERA, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R BONASERA DMD (OWNER)
(781) 447-4751
Entity
Organization
Contact information
Practice address
29 TEMPLE ST, WHITMAN, MA 02382
(781) 447-4751
(781) 447-6700
Mailing address
29 TEMPLE ST, WHITMAN, MA 02382
(781) 447-4751
(781) 447-6700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15934
MA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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