| NPI | 1548935463 |
|---|---|
| Doing Business As | BLOOM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JAMES MATTHEW BLOOM Owner/Orthodontist 443-804-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |