Larry Dean Bloom, DDS
NPI #1467716167 in Hudson, Wisconsin
Provider Information
- NPI Number
- 1467716167
- Entity Type
- Individual
- Name
- Larry Dean Bloom, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Jun 27, 2012
- Last Updated
- Jun 28, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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