JAY MORTON BLOOM

LOS GATOS, CA
NPI1275651853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  18449)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. JAY MORTON BLOOM D.D.S.
14515 S BASCOM AVE
LOS GATOS, CA 95032-2003
Phone number: 408-356-6106
Mailing Address
Dr. JAY MORTON BLOOM D.D.S.
14515 S BASCOM AVE
LOS GATOS, CA 95032-2003
Phone number: 408-356-6106