Jay Bloom, D.D.S

NPI 1275651853 · on the registry since 2007 · sole proprietor

Practice

Address: 14515 S Bascom Ave
Los Gatos, CA 95032
Phone: (408) 356-6106
Fax: (408) 356-3532
Organisation at this address: Leticia Lozada Ortega Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California