DR. JOHN BLOOM, DDS
Dentist
Active
Individual
NPI: 1255319364
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | - |
Frequently Asked Questions
NPI 1255319364 is the National Provider Identifier for DR. JOHN BLOOM, DDS, a Dentist provider located in Great Lakes, IL. This NPI was enumerated on January 9, 2006.
DR. JOHN BLOOM, DDS practices at 3001 6TH ST, Great Lakes, IL 60088.
Quick Facts
- NPI
- 1255319364
- Type
- Individual
- Enumerated
- Jan 9, 2006
- Last Updated
- Jul 8, 2007
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