DR. Michael Aaron Bloom, DMD

NPI #1366527780 in Hayden, Idaho

Provider Information

NPI Number: 1366527780
Entity Type: Individual
Name: DR. Michael Aaron Bloom, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9928 N GOVERNMENT WAY
City: Hayden
State: Idaho
ZIP Code: 83835-9604
Phone: (208) 772-3583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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