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Individual

MR. HOWARD BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13 - 15 NEPERAN ROAD, DENTAL ACCUMEN, TARRYTOWN, NY 10591-3446
(914) 337-5252
(914) 337-5426
Mailing address
2400 HUNTER AVE, APT 5B, BRONX, NY 10475-5622
(914) 366-4410
(914) 366-4411

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38602
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01573642
NY
Enumeration date
03/19/2007
Last updated
01/07/2014
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