Organization
CARL D. BLOOM, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BLOOM (OWNER)
(713) 721-2275
Entity
Organization
Contact information
Practice address
9641 HILLCROFT ST, HOUSTON, TX 77096-3805
(713) 721-2275
Mailing address
800 N 2ND ST, BELLAIRE, TX 77401-2802
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17269
TX
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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