Individual
CHERILEE C BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
815 WEST CANFIELD AVENUE, COEUR DALENE, ID 83815
(208) 762-2544
(208) 762-9563
Mailing address
815 WEST CANFIELD AVENUE, COEUR DALENE, ID 83815
(208) 762-2544
(208) 762-9563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3510
ID
Other
Enumeration date
08/30/2006
Last updated
04/07/2017
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