| NPI | 1366181984 |
|---|---|
| Doing Business As | BLOOM FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KYLE PATRICK REED Dentist/Owner 304-345-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |