Individual
GEOFFREY IAN BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1405 BRUSHY CREEK RD, TAYLORS, SC 29687-4008
(864) 244-3131
(864) 244-3132
Mailing address
1405 BRUSHY CREEK RD, TAYLORS, SC 29687-4008
(864) 244-3131
(864) 244-3132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8441
SC
Other
Enumeration date
07/29/2014
Last updated
06/08/2015
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