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Individual

DR. ROSANNE M. BLOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S., MS.

Contact information

Practice address
130 THOMAS JOHNSON DR., SUITE 2, FREDERICK, MD 21702-4582
(301) 631-5860
(301) 631-5861
Mailing address
130 THOMAS JOHNSON DR., SUITE 2, FREDERICK, MD 21702-4582
(301) 631-5860
(301) 631-5861

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11721
MD

Other

Enumeration date
10/23/2008
Last updated
10/23/2008
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