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Organization
BLOOM ENDO, LLC
Active
Organization
BLOOM ENDO, LLC
Active
Other names
Bloom Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CURTIS GIBSON JR. DDS, MS (ENDODONTIST/OWNER)
(843) 647-6052
Entity
Organization
Contact information
Practice address
617 MYERS RD STE B, SUMMERVILLE, SC 29486-8902
(843) 647-6052
Mailing address
617 MYERS RD STE B, SUMMERVILLE, SC 29486-8902
(843) 647-6052
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
02/13/2024
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