| NPI | 1518355577 |
|---|---|
| Doing Business As | BLOOM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | AMANDA BULLOCK Practice Manager 770-680-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |