| Bloom Dental Group | |
|
800 S B St Suite #200 San Mateo CA 94401-4271 | |
| (650) 458-3727 | |
| Not Available |
| Full Name | Bloom Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 S B St, San Mateo, California |
| Authorized Official Name and Position | Patti Bolander (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6504583727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Dental Group 800 S B St Suite #200 San Mateo CA 94401-4271 Ph: (650) 458-3727 | Bloom Dental Group 800 S B St Suite #200 San Mateo CA 94401-4271 Ph: (650) 458-3727 |
| NPI Number | 1730535774 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730535774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58767 (California) | Primary |
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