NPI | 1366013690 |
---|---|
Doing Business As | BLOOM CENTER FOR ESTHETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SABAHAT ABERNETHY Owner/Dentist 617-694-5902 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |