ANDREW BLOOM

CARMEL, IN
NPI1417483876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12012763A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-04
Last Update Date2018-03-17
Business Address
Dr. ANDREW BLOOM DDS
200 MEDICAL DR STE A
CARMEL, IN 46032-2985
Phone number: 317-575-1995
Mailing Address
Dr. ANDREW BLOOM DDS
12026 WOODS BAY CT
CARMEL, IN 46033-9524
Phone number: