Individual
DR. DALE S BLOOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1221 MADISON ST, #1116, SEATTLE, WA 98104-3588
(206) 215-2088
Mailing address
1221 MADISON ST, #1116, SEATTLE, WA 98104-3588
(206) 215-2088
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00003788
WA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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