DR. Nathan Lee Bloom, D.D.S.

NPI #1215224829 in Sheboygan, Wisconsin

Provider Information

NPI Number
1215224829
Entity Type
Individual
Name
DR. Nathan Lee Bloom, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 3, 2011
Last Updated
May 11, 2015

Practice Location

Address
3233 SUPERIOR AVE
ZIP Code
53081-1858
Phone
(920) 457-0888

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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