Organization
MELANY K. BLOOMQUIST, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANY KAY BLOOMQUIST DDS, PS (PRESIDENT)
(360) 871-5100
Entity
Organization
Contact information
Practice address
1590 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
(360) 871-5100
(360) 871-5104
Mailing address
1590 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
(360) 871-5100
(360) 871-5104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7314
WA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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