Individual
DR. AARON FORSYTHE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576-6434
(304) 419-0188
Mailing address
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576-6434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3833
WV
1223G0001X
General Practice Dentistry
8879
SC
1223P0221X
Pediatric Dentistry
Primary
937
SC
Other
Enumeration date
07/29/2008
Last updated
03/17/2018
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