| NPI | 1215356183 |
|---|---|
| Doing Business As | KARLA M BLOOMQUIST, DDS |
| Entity Type | Organization |
| Authorized Contact | KARLA MARIE BLOOMQUIST Dentist 253-857-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 10113) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |