| NPI | 1679342042 |
|---|---|
| Doing Business As | BLOOM ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CURTIS GIBSON Endodontist/Owner 843-647-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-02-13 |