Individual
DR. DAVID ALAN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2910 ORCHARD PL, ORCHARD LAKE, MI 48324-2356
(248) 613-5554
Mailing address
2910 ORCHARD PL, ORCHARD LAKE, MI 48324-2356
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DB010636
MI
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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