Individual
DR. MATTHEW BLOOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D. , M.S.
Contact information
Practice address
4111 OKEMOS RD STE 201, OKEMOS, MI 48864-3235
(517) 347-0946
Mailing address
4111 OKEMOS RD STE 201, OKEMOS, MI 48864-3235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021647
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021647
MI
Other
Enumeration date
01/04/2016
Last updated
03/24/2020
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