Cherilee C Bloom DDS Pllc
NPI #1083873939 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1083873939
- Entity Type
- Organization
- Organization Name
- Cherilee C Bloom DDS Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 5, 2008
- Last Updated
- Apr 7, 2017
Practice Location
- Address
- 815 W CANFIELD AVE
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-9765
- Phone
- (108) 762-2544
Authorized Official
- Name
- CHERI C BLOOM, DDS
- Title
- OWNER/MEMBER
- Phone
- (208) 762-2544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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