Organization
CHERILEE C BLOOM DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI C BLOOM DDS (OWNER/MEMBER)
(208) 762-2544
Entity
Organization
Contact information
Practice address
815 W CANFIELD AVE, COEUR D ALENE, ID 83815-9765
(108) 762-2544
(208) 762-9563
Mailing address
815 W CANFIELD AVE, COEUR D ALENE, ID 83815-9765
(108) 762-2544
(208) 762-9563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3510
ID
Other
Enumeration date
06/05/2008
Last updated
04/07/2017
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