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Individual

DANIEL BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11015 N SCOTTSDALE RD STE 101, SCOTTSDALE, AZ 85254-5196
(480) 544-2800
Mailing address
8100 E CAMELBACK RD # 100, SCOTTSDALE, AZ 85251-2729

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011388
AZ

Other

Enumeration date
05/28/2022
Last updated
05/28/2022
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