Individual
CHARLES R BLOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5200 BUFFALO GAP RD STE B, ABILENE, TX 79606-4151
(325) 691-1140
(325) 691-1141
Mailing address
5200 BUFFALO GAP RD STE B, ABILENE, TX 79606-4151
(325) 691-1140
(325) 691-1141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12413
TX
Other
Enumeration date
01/22/2007
Last updated
01/21/2011
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