Individual
CAITLIN BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2011 WISCONSIN AVE, NEW HOLSTEIN, WI 53061-1316
(920) 645-1219
Mailing address
W5571 GLADWATER BEACH RD, MALONE, WI 53049-1113
(920) 645-1219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001838-15
WI
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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