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1174731954
CHARLES HENRY BLOOM
NEW BRUNSWICK, NJ
NPI
1174731954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist Prosthodontics
(Licence: NJ 22DI01554800)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
DR. CHARLES HENRY BLOOM D.M.D.
815 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901-3344
Phone number: 732-249-6386
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Mailing Address
DR. CHARLES HENRY BLOOM D.M.D.
815 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901-3344
Phone number: 732-249-6386
Copy
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