Individual
GENE S BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4301 E AMHERST AVE, DENVER, CO 80222-6790
(303) 758-5858
Mailing address
4301 E AMHERST AVE, DENVER, CO 80222-6790
(303) 758-5858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
486
CO
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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