Organization
BLOOM & WYGODSKI FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BLOOM (DENTIST)
(727) 384-4151
Entity
Organization
Contact information
Practice address
5762 1ST AVE N, ST PETERSBURG, FL 33710-7914
(727) 384-4151
Mailing address
5762 1ST AVE N, ST PETERSBURG, FL 33710-7914
(727) 384-4151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10858
FL
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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