Have you seen Star Trek? Why do Betazoids look human even though they're aliens? Trek is full of human looking aliens.
There's nothing odd about Book looking human. That was basically every alien on TOS, save for a handful.
Here are some others... - El Aurians - Lanthanite - Angel One inhabitants - Aldeans And that's just the ones on Earth, and TNG Season 1.
On topic, it's been more than a thousand years since humans left the Solar System. Did the show ever say Book's people evolved on that planet?
For one thing, the Preservers scattered a lot of Humans all over the galaxy. There was also a TNG episode-I think it was "The Chase"-that explained why so many non-terrestrials looked so close to human...