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Individual

DR. HENRY A BLOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10 STUDIO ARC, BRONXVILLE, NY 10708-2631
(914) 337-1157
(914) 337-1165
Mailing address
17 CROWS NEST RD, BRONXVILLE, NY 10708-4816
(914) 337-1157
(914) 337-1165

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038462
NY

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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