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1386652402
KERRY MARK BLOOM
HOUSTON, TX
NPI
1386652402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 10986)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Dr. KERRY MARK BLOOM D.D.S.
6560 FANNIN ST STE 1434
HOUSTON, TX 77030-2713
Phone number: 713-795-0130
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Mailing Address
Dr. KERRY MARK BLOOM D.D.S.
6560 FANNIN ST STE 1434
HOUSTON, TX 77030-2713
Phone number: 713-795-0130
Copy
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