Bloom Dental, LLC
NPI #1770369092 in Hickory Creek, Texas
Provider Information
- NPI Number
- 1770369092
- Entity Type
- Organization
- Organization Name
- Bloom Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 1, 2023
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 3970 FM 2181 STE 200
- City
- Hickory Creek
- State
- Texas
- ZIP Code
- 75065-4249
- Phone
- (940) 600-5365
Authorized Official
- Name
- ALYAA K MAFRAG, DMD
- Title
- OWNER
- Phone
- (210) 803-8889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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