BLOOM PEDIATRIC DENTISTRY PLLC NPI 1578061925

NPI Information

BLOOM PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Chandler, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BLOOM PEDIATRIC DENTISTRY, PLLC NPI is 1578061925. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bloom Pediatric Dentistry.

The provider's business location address is:

1900 W GERMANN RD STE 3
CHANDLER, AZ
ZIP 85286-838
Phone: (480) 867-7355
Fax: (480) 907-1888

The provider's authorized official is Janelle Unhae Lee .
The authorized official title is Pediatric Dentist/ Owner and has the following contact phone number (480) 867-7355.

The enumeration date for this NPI number is 1/30/2018 and was last updated on 1/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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