DR. Jonathan A Bloom, D.D.S.
NPI #1093884462 in South Burlington, Vermont
Provider Information
- NPI Number
- 1093884462
- Entity Type
- Individual
- Name
- DR. Jonathan A Bloom, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Nov 7, 2006
- Last Updated
- May 16, 2012
Practice Location
- Address
- 118 TILLEY DR STE 101
- City
- South Burlington
- State
- Vermont
- ZIP Code
- 05403-4450
- Phone
- (802) 863-3950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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