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1538149893
MICHAEL STEVEN BLOOM
BETHPAGE, NY
NPI
1538149893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 043551)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL STEVEN BLOOM DDS
4154 HICKSVILLE RD
BETHPAGE, NY 11714-6216
Phone number: 516-735-6193
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Mailing Address
Dr. MICHAEL STEVEN BLOOM DDS
4154 HICKSVILLE RD
BETHPAGE, NY 11714-6216
Phone number: 516-735-6193
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