Individual
DR. TODD EVAN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.D.S.
Contact information
Practice address
1305 POST RD, SUITE 303, FAIRFIELD, CT 06824-6016
(203) 259-2227
(203) 259-2218
Mailing address
1305 POST RD, SUITE 303, FAIRFIELD, CT 06824-6016
(203) 259-2227
(203) 259-2218
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9276
CT
Other
Enumeration date
05/26/2006
Last updated
12/19/2007
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