JEFFREY T BLOOM

RAPID CITY, SD
NPI1144392440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: SD  M660)
Enumeration Date2006-11-14
Last Update Date2015-03-31
Business Address
Dr. JEFFREY T BLOOM DDS
631 ST ANNE ST SUITE 105
RAPID CITY, SD 57701
Phone number: 605-343-6003
Mailing Address
Dr. JEFFREY T BLOOM DDS
631 ST ANNE ST SUITE 105
RAPID CITY, SD 57701
Phone number: 605-343-6003
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