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1255466843
MATTHEW IRA BLOOM
NEW YORK, NY
NPI
1255466843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 031778)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. MATTHEW IRA BLOOM D.D.S.
123 WAVERLY PL 1B
NEW YORK, NY 10011-9147
Phone number: 212-460-0955
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Mailing Address
Dr. MATTHEW IRA BLOOM D.D.S.
123 WAVERLY PL 1B
NEW YORK, NY 10011-9147
Phone number: 212-460-0955
Copy
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