NPI | 1730535774 |
---|---|
Doing Business As | BLOOM DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PATTI BOLANDER Director Of Operations 650-458-3727 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58767) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2016-05-09 |