# CRAIG Y. BLOOM,DMD, RICHARD M.A. BERGER,DDS & BRYAN R. KREY, DMD, APC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berkeley Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194057174
- **Authorized official:** DR. CRAIG YALE BLOOM D.M.D. (PRESIDENT)
- **Authorized official phone:** (510) 848-1055

## Contact information

- **Practice address:** 2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2895
- **Practice address phone:** (510) 848-1055
- **Practice address fax:** (510) 848-1055
- **Mailing address:** 2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2895
- **Mailing address phone:** (510) 848-1055
- **Mailing address fax:** (510) 848-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 31571 | CA | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010