Organization
DR. DAVID A BLOOM DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BLOOM DMD (OWNER)
(603) 893-6120
Entity
Organization
Contact information
Practice address
1 MANOR PKWY, SALEM, NH 03079-2832
(603) 893-6120
Mailing address
1 MANOR PKWY, SALEM, NH 03079-2832
(603) 893-6120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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