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Organization
MELANY K. BLOOMQUIST, DDS, PS
Active
Organization
MELANY K. BLOOMQUIST, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANY KAY BLOOMQUIST DDS, PS (PRESIDENT)
(360) 871-5100
Entity
Organization
Contact information
Practice address
1590 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
(360) 871-5100
(360) 871-5104
Mailing address
1590 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
(360) 871-5100
(360) 871-5104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7314
WA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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