| NPI | 1578061925 |
|---|---|
| Doing Business As | BLOOM PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JANELLE UNHAE LEE Pediatric Dentist/ Owner 480-867-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D009485) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |