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1215950100
WILLIAM S BLOOM
WARREN, MI
NPI
1215950100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: MI 2901010395)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- WILLIAM S BLOOM DDS
11300 EAST THIRTEEN MILE ROAD
WARREN, MI 48093
Phone number: 586-573-7777
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Mailing Address
-- WILLIAM S BLOOM DDS
11300 13 MILE ROAD
WARREN, MI 48093
Phone number: 586-573-7777
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