Individual
SHERWIN WILLIAM BONAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 516-3270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL100435
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/22/2024
Last updated
10/29/2024
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