JONATHAN A BLOOM

SOUTH BURLINGTON, VT
NPI1093884462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VT  2268)
Enumeration Date2006-11-07
Last Update Date2012-05-16
Business Address
Dr. JONATHAN A BLOOM D.D.S.
118 TILLEY DR STE 101
SOUTH BURLINGTON, VT 05403-4450
Phone number: 802-863-3950
Mailing Address
Dr. JONATHAN A BLOOM D.D.S.
120 NICKLAUS CIR
SOUTH BURLINGTON, VT 05403-8015
Phone number: 802-497-0814
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