MITCHELL BLOOM

NEW YORK, NY
NPI1467853408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NY  045016)
Enumeration Date2014-09-09
Last Update Date2014-09-09
Business Address
-- MITCHELL BLOOM D.M.D.
880 5TH AVE SUITE 1-G
NEW YORK, NY 10021-4951
Phone number: 212-327-2623
Mailing Address
-- MITCHELL BLOOM D.M.D.
880 5TH AVE SUITE 1-G
NEW YORK, NY 10021-4951
Phone number: 212-327-2623