Individual
BENJAMIN JACOB BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(301) 802-7282
Mailing address
1677 EWING PARK LOOP, MIDLOTHIAN, VA 23113-3449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401420054
VA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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