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Organization

CRAIG Y. BLOOM,DMD, RICHARD M.A. BERGER,DDS & BRYAN R. KREY, DMD, APC

Active
Other names
Berkeley Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG YALE BLOOM D.M.D. (PRESIDENT)
(510) 848-1055
Entity
Organization

Contact information

Practice address
2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2895
(510) 848-1055
(510) 848-1055
Mailing address
2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2895
(510) 848-1055
(510) 848-1055

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31571
CA

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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