| NPI | 1629951520 |
|---|---|
| Doing Business As | BLOOM PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINDI ALYSE D'ELIA Pediatric Dentist 480-330-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |