Dr. NATHAN LEE BLOOM -- D.D.S.
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1215224829- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 3233 SUPERIOR AVE, SHEBOYGAN, WI, 530811858
- Phone
- (920) 457-0888
- Fax
- (920) 457-0896
Specialties & Taxonomies
Dentist, General Practice
Primary License: WI #6711-015