Organization
BONITA DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HERR DDS (OWNER)
(419) 438-4789
Entity
Organization
Contact information
Practice address
328 NEWBURY ST, BOSTON, MA 02115-2715
(617) 536-5182
Mailing address
328 NEWBURY ST, BOSTON, MA 02115-2715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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