Individual
DR. CRAIG YALE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2803
(510) 848-1055
(510) 848-9100
Mailing address
2522 DANA ST, SUITE 202, BERKELEY, CA 94704-2803
(510) 848-1055
(510) 848-9100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31571
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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