MICHAEL AARON BLOOM

HAYDEN, ID
NPI1366527780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-3394)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
DR. MICHAEL AARON BLOOM DMD
9928 N GOVERNMENT WAY
HAYDEN, ID 83835-9604
Phone number: 208-772-3583
Mailing Address
DR. MICHAEL AARON BLOOM DMD
9928 N GOVERNMENT WAY
HAYDEN, ID 83835-9604
Phone number: 208-772-3583
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