Organization
BLOOM PEDIATRIC DENTISTRY, PLLC
Active
Other names
Bloom Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANELLE UNHAE LEE DDS, MSD (PEDIATRIC DENTIST/ OWNER)
(480) 867-7355
Entity
Organization
Contact information
Practice address
1900 W GERMANN RD STE 3, CHANDLER, AZ 85286-6838
(480) 867-7355
(480) 907-1888
Mailing address
1900 W GERMANN RD STE 3, CHANDLER, AZ 85286-6838
(480) 867-7355
(480) 907-1888
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D009485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154524
—
AZ
Enumeration date
01/30/2018
Last updated
01/30/2018
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