NPI | 1265007629 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES H BLOOM Dentist Owner 908-720-5621 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-05-26 |
Last Update Date | 2021-05-26 |