| Bloom Dental, Pllc | |
|
900 N Randolph St Ste 103 Arlington VA 22203-1949 | |
| (703) 243-3600 | |
| Not Available |
| Full Name | Bloom Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 N Randolph St Ste 103, Arlington, Virginia |
| Authorized Official Name and Position | Ashkan Yousefi (OWNER) |
| Authorized Official Contact | 4088889240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Dental, Pllc 900 N Randolph St Ste 103 Arlington VA 22203-1949 Ph: () - | Bloom Dental, Pllc 900 N Randolph St Ste 103 Arlington VA 22203-1949 Ph: (703) 243-3600 |
| NPI Number | 1992227870 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 07/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992227870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401415049 (Virginia) | Secondary |
| 1223G0001X | Dentist - General Practice | 0401413246 (Virginia) | Primary |
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