Individual
CARL BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9641 HILLCROFT ST, HOUSTON, TX 77096-3805
(713) 721-2275
Mailing address
800 N 2ND ST, BELLAIRE, TX 77401-2802
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17269
TX
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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