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Michael Bloom, DMD
NPI 1366527780 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9928 N Government Way
Hayden, ID 83835 - Phone
- (208) 772-3583
- Fax
- (208) 772-3224
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
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 Idaho