Organization
ASSOCIATES IN DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK NEIL BLOOM DDS (PRESIDENT)
(860) 745-2712
Entity
Organization
Contact information
Practice address
64 PALOMBA DRIVE, ENFIELD, CT 06082-3847
(860) 745-2712
(860) 741-3109
Mailing address
64 PALOMBA DRIVE, ENFIELD, CT 06082
(860) 745-2712
(860) 741-3109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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