Individual
DR. ANDERSAN M BLOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7636 BELAIR RD, NOTTINGHAM, MD 21236-4088
(410) 663-1073
(410) 663-1072
Mailing address
7636 BELAIR RD, NOTTINGHAM, MD 21236-4088
(410) 663-1073
(410) 663-1072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10221
MD
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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