Individual
DANIEL BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3042 W QUEEN CREEK RD, CHANDLER, AZ 85248-2815
(520) 796-2600
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011388
AZ
Other
Enumeration date
05/28/2022
Last updated
06/23/2026
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