| NPI | 1558187369 |
|---|---|
| Doing Business As | BLOOM DENTAL CO. |
| Entity Type | Organization |
| Authorized Contact | TONI TORRES Dentist 702-760-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |