Individual
DR. GENEVIEVE BONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
58 QUINCY ST, WATERTOWN, MA 02472-1802
(617) 447-4471
Mailing address
58 QUINCY ST, WATERTOWN, MA 02472-1802
(617) 447-4471
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9528
MA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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