Fairfield Oral Surgery, LLC
NPI #1487692174 in Fairfield, Connecticut
Provider Information
- NPI Number
- 1487692174
- Entity Type
- Organization
- Organization Name
- Fairfield Oral Surgery, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- 1305 POST RD
- Address 2
- SUITE 303
- City
- Fairfield
- State
- Connecticut
- ZIP Code
- 06824-6016
- Phone
- (203) 259-2227
Authorized Official
- Name
- DR. TODD EVAN BLOOM, M.S., D.D.S.
- Title
- PRESIDENT
- Phone
- (203) 259-2227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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