NATHAN LEE BLOOM

SHEBOYGAN, WI
NPI1215224829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6711-015)
Enumeration Date2011-07-03
Last Update Date2015-05-11
Business Address
Dr. NATHAN LEE BLOOM D.D.S.
3233 SUPERIOR AVE
SHEBOYGAN, WI 53081-1858
Phone number: 920-457-0888
Mailing Address
Dr. NATHAN LEE BLOOM D.D.S.
3233 SUPERIOR AVE
SHEBOYGAN, WI 53081-1858
Phone number: 920-457-0888
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